Potvin, Kim Marie

Potvin, Kim Marie is an individual health care provider with primary practice located at 215 N Main St Mailbox 116E, White River Junction VT 05009-0001. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. Potvin, Kim Marie can be contacted via phone (802) 295-9363.

Contact Information

Primary practice address
215 N Main St Mailbox 116E White River Junction VT 05009-0001
Phone: (802) 295-9363
Fax: (802) 296-6389
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Genetic Counselor, MS 170300000X 000356 Vermont

Profile Details

NPI number 1881704468
LBN Legal business name Potvin, Kim Marie
Credentials MA LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881704468 NPPES
Vermont Other 000356 LICENSED ALCOHOL AND DRUG

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