KEANTHONY LEVAR POTTER NPI 1437849098

NPI Information

NPI: 1437849098
Provider Name: KEANTHONY LEVAR POTTER
Classification: Registered Nurse - 163WC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
1200 BROOKWOOD DR APT 244
LITTLE ROCK, AR
ZIP 72202
Phone: (770) 309-1873
Get Directions

Keanthony Levar Potter is a critical care medicine registered nurse in Little Rock, AR. Keanthony Levar Potter NPI is 1437849098. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1200 BROOKWOOD DR APT 244
LITTLE ROCK, AR
ZIP 72202-443
Phone: (770) 309-1873

The enumeration date for this NPI number is 5/8/2023 and was last updated on 5/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0200X	Registered Nurse	Critical Care Medicine	RN267853	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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