Individual provider · Type 1 NPI

Kyra Potter

Student in an Organized Health Care Education/Training Program · Oakland, CA

NPI number 1306775549 Active

Practice location

525 12th St
Oakland, CA 94607-4927

Call (800) 607-6377 Map

Mailing address

9065 Ancestor Dr
Elk Grove, CA 95758-1224

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.

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About NPI 1306775549

Kyra Potter's National Provider Identifier is 1306775549, issued on May 14, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oakland, CA. The record was last updated on May 14, 2026.