Individual
KYLIE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1000 GREG KRUSCHEK AVE, NOME, AK 99762-0966
(907) 443-3311
Mailing address
PO BOX 966, NOME, AK 99762-0966
(907) 443-3311
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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