OrganizationActive
Ira B Potter Psc
NPI 1962401455 · Medical Specialty Clinic/Center · Lackey, KY
Provider details
- NPI number
- 1962401455
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ira Potter, President(606) 358-2381
- License
- PA1587 (KY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
77 Millard Allen Dr.
Lackey, KY 41643-0190
Phone: (606) 358-2381
Fax: (606) 358-2404
Street-level locationGet directions
Mailing address
Po Box 190
Lackey, KY 41643-0190
Registry dates
- Enumerated
- 2005-07-18
- Last updated
- 2016-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.