Mrs Kimberly Lynn Potter, LPN is a
Licensed Practical Nurse based in Jeffersonville, Ohio. Mrs Kimberly Lynn Potter is licensed to practice in Ohio (license number PN-145259-M-IV) and her current practice location is
47 Darbyshire Dr, Jeffersonville, Ohio. She can be reached at her office (for appointments etc.) via phone at
(740) 505-8149.
NPI number for Mrs Kimberly Lynn Potter is 1790110096 and her current mailing address is 47 Darbyshire Dr, Jeffersonville, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790110096.
Provider's Profile
Full Name | Mrs Kimberly Lynn Potter |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 47 Darbyshire Dr, Jeffersonville, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790110096
- Provider Enumeration Date: 09/05/2013
- Last Update Date: 09/05/2013
Medical Identifiers
Medical identifiers for Mrs Kimberly Lynn Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790110096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN-145259-M-IV (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kimberly Lynn Potter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kimberly Lynn Potter, LPN 47 Darbyshire Dr, Jeffersonville, OH 43128-1104 Ph: (740) 505-8149 | Mrs Kimberly Lynn Potter, LPN 47 Darbyshire Dr, Jeffersonville, OH 43128-1104 Ph: (740) 505-8149 |
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