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NPI Code Detail

MEDICARE: MR. KEVIN DANE POTTS AUD

MEDICARE: MR. KEVIN DANE POTTS AUD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologistAUD.0000846CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151624OTHERTXTEXAS LICENSE
201115630OTHERASHA CERTIFICATION NUMBER

General Provider Information

NPI Number : 1679735609
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KEVIN DANE POTTS AUD
Provider Business Mailing Address
First Line : 2060 BRIARGATE PKWY STE 120
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-7699
Country : US
Telephone Number : 719-301-3800
Fax Number : 719-301-3855
Provider Business Practice Location Address
First Line : 2060 BRIARGATE PKWY STE 120
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-7699
Country : US
Telephone Number : 719-301-3800
Fax Number : 719-301-3855
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2008
Last Update Date : 09/03/2025

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Directions to “ MR. KEVIN DANE POTTS AUD” Practice Location

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