DR. LOWELL KENNETH POTTENGER MD NPI 1316140650

NPI Information

NPI: 1316140650
Provider Name: DR. LOWELL KENNETH POTTENGER, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
4400 EDEN HALL LN
JOPLIN, MO
ZIP 64803
Phone: (417) 781-4090
Get Directions

DR. Lowell Kenneth Pottenger, MD is a diagnostic radiology radiology in Joplin, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Lowell Kenneth Pottenger, MD NPI is 1316140650. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4400 EDEN HALL LN
JOPLIN, MO
ZIP 64803
Phone: (417) 781-4090
Fax: (414) 782-1601

The enumeration date for this NPI number is 6/6/2007 and was last updated on 12/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	30716	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	MA2319004	MEDICARE UPIN	MISSOURI
2	002010457	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI
3	200600807	MEDICAID	MISSOURI
4	G 011301045	MEDICARE ID-TYPE UNSPECIFIED	OKLAHOMA
5	A12747	MEDICARE UPIN	MISSOURI
6	04936673136	MEDICAID	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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