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

Kim Maureen Potter

Individual provider Licensed Practical Nurse · NPI 1679163661

Kim Maureen Potter is a Licensed Practical Nurse in Marion, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

3477 Palmyra Rd
Marion, NY 14505-9711
Phone: (315) 584-3314
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 334078-1 (NY)

Record details

NPI number1679163661
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 22, 2021
Last updated in NPPESJanuary 22, 2021
Certification dateJanuary 22, 2021
Mailing address3477 Palmyra Rd, Marion, NY 14505-9711

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