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.
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)
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)