Kim Maureen Potter

Licensed Practical Nurse · Marion, NY

Individual Active NPI

NPI number 1679163661

Practice location

3477 Palmyra Rd
Marion, NY 14505-9711
Phone
(315) 584-3314

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NPI record

NPI
1679163661
Entity type
Individual (Type 1)
Enumeration date
January 22, 2021
Last updated
January 22, 2021
Certified
January 22, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 334078-1 NY

About Kim Potter

Kim Maureen Potter is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 3477 Palmyra Rd, Marion, NY 14505-9711. The NPI number 1679163661 was assigned on January 22, 2021 and the record was last updated on January 22, 2021.

Kim Potter lists a license in the registry: #334078-1 (NY) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kim Maureen Potter?

The NPI number is 1679163661.

What is the phone number of Kim Potter?

The phone number listed for the practice location is (315) 584-3314.

Where is Kim Potter located?

3477 Palmyra Rd, Marion, NY 14505-9711.

What is the taxonomy code for Kim Potter?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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