Potter, Keanthony Levar

Potter, Keanthony Levar is an individual health care provider with primary practice located at 660 South Euclid Ave Campus Box 8054, St. Louis MO 63110-1093. He recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as his primary health care specialty. Potter, Keanthony Levar can be contacted via phone (314) 454-5692.

Contact Information

Primary practice address
660 South Euclid Ave Campus Box 8054 St. Louis MO 63110-1093
Phone: (314) 454-5692
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X RN267853 Georgia

Profile Details

NPI number 1437849098
LBN Legal business name Potter, Keanthony Levar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2023
Last updated Jul 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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