Individual provider · Type 1 NPI

Kamil Potaczala

Student in an Organized Health Care Education/Training Program · Petersburg, VA

NPI number 1124814116 Active

Practice location

200 Medical Park Blvd
Petersburg, VA 23805-9274

Call (804) 765-5000 Map

Mailing address

200 W Edge Way Apt 4301
Lynchburg, VA 24502-5873

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

97 other providers at this address

Other student in an organized health care education/training program providers in Petersburg

See all in Petersburg →

About NPI 1124814116

Kamil Potaczala's National Provider Identifier is 1124814116, issued on Apr 16, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Petersburg, VA. The record was last updated on Apr 16, 2025.