SearchRhode Island101YA0400X

Kyle Potter, BA

NPI 1700447331 · on the registry since 2019

Practice

Address
110 Elmwood Ave
Providence, RI 02907
Phone
(401) 300-5757
Fax
(401) 300-5656
Organisation at this address
Victa Llc
Victapharm
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Male
Record last updated
2019-06-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island