Individual
KIMBERLY LYNNE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
235 MILL ST, CAMPBELLSPORT, WI 53010-2786
(920) 266-5581
(920) 533-6009
Mailing address
235 MILL ST, CAMPBELLSPORT, WI 53010-2786
(920) 266-5581
(920) 533-6009
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304735-31
WI
Other
Enumeration date
06/13/2021
Last updated
06/13/2021
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