Individual provider · Type 1 NPI

Kenda Potter

Student in an Organized Health Care Education/Training Program · Fayetteville, AR

NPI number 1639076359 Active

Practice location

155 N Stadium Dr
Fayetteville, AR 72701-4026

Call (918) 697-8424 Map

Mailing address

5294 W 640
Chouteau, OK 74337-5546

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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.

4 other providers at this address

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

See all in Fayetteville →

About NPI 1639076359

Kenda Potter's National Provider Identifier is 1639076359, issued on Oct 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fayetteville, AR. The record was last updated on Oct 26, 2026.