National Provider Identifier
Kim Maureen Potter
Kim Maureen Potter is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Marion, NY and a listed phone number of (315) 584-3314.
Source: public NPPES record, last updated January 22, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1679163661
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 22, 2021
- Last Updated
- January 22, 2021
Practice Location
- 3477 Palmyra RD
- Marion, NY 14505-9711
Phone: (315) 584-3314
Specialties
- Licensed Practical Nurse (164W00000X)
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Biography
Kim Maureen Potter is a Marion, New York-based licensed practical nurse. Public profiles list her LPN background and note about five years of licensed practical nursing experience, with licensure falling under New York’s Office of the Professions.
Full Record
- NPI
- 1679163661
- Entity Type
- Individual
- Last Name
- Potter
- First Name
- Kim
- Middle Name
- Maureen
- Mailing Street Address
- 3477 Palmyra RD
- Mailing City
- Marion
- Mailing State
- NY
- Mailing ZIP Code
- 14505-9711
- Mailing Country
- US
- Mailing Phone
- (315) 584-3314
- Practice Street Address
- 3477 Palmyra RD
- Practice City
- Marion
- Practice State
- NY
- Practice ZIP Code
- 14505-9711
- Practice Country
- US
- Practice Phone
- (315) 584-3314
- Enumeration Date
- January 22, 2021
- Last Updated
- January 22, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 22, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)