Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kamil Potaczala

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124814116

Kamil Potaczala is a Student in an Organized Health Care Education/Training Program in Petersburg, Virginia. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

200 Medical Park Blvd
Petersburg, VA 23805-9274
Phone: (804) 765-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1124814116
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 16, 2025
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025
Mailing address200 W Edge Way Apt 4301, Lynchburg, VA 24502-5873

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