Individual provider · Type 1 NPI

Kim Denise Potter, LPN

Licensed Practical Nurse · Bellport, NY

NPI number 1992154496 Active

Practice location

19 Sundown Dr
Bellport, NY 11713-1133

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X284000-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1992154496

Kim Denise Potter, LPN's National Provider Identifier is 1992154496, issued on Jun 7, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bellport, NY. The record was last updated on Jun 9, 2016.