Active NPIIndividual provider

Mr. Kyle P Potter, BA

Counselor, Addiction (Substance Use Disorder) in Providence, Rhode Island

NPI Number1700447331
Practice location
110 Elmwood Ave, Providence, RI 02907-2423
Fax
401-300-5656
Last updated
June 25, 2019

Kyle Perry Potter is a Counselor, Addiction (Substance Use Disorder) based in Providence, RI. Kyle Perry Potter practices in Providence, RI and has the professional credentials of BA. The NPI Number for Kyle Perry Potter is 1700447331. The current practice location address for Kyle Perry Potter is 110 Elmwood Ave, Providence, RI 02907-2423 and can be reached out via phone at 401-300-5757 and via fax at 401-300-5656.

Provider Profile Details

NPI Number
1700447331
Provider Name
Kyle Perry Potter
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
110 Elmwood Ave, Providence, RI 02907-2423
Phone Number
401-300-5757
Fax Number
401-300-5656
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
June 25, 2019
Last Update Date
June 25, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Elmwood Ave
Providence, RI 02907-2423
Zip
02907-2423
Phone Number
401-300-5757
Fax Number
401-300-5656
Providence, RI 02907Get directions →

Provider Business Mailing Address Details

Address
104 River St
Wakefield, RI 02879-3212
City
Wakefield
State
RI
Zip
02879-3212
Phone Number
401-499-8286

License Information

Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Kyle P Potter, BA?

The NPI number of Mr. Kyle P Potter, BA is 1700447331. It was assigned on June 25, 2019 and is currently active in the NPPES registry.

What is the specialty of Mr. Kyle P Potter, BA?

Mr. Kyle P Potter, BA is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).

Where does Mr. Kyle P Potter, BA practice?

The practice location is 110 Elmwood Ave, Providence, RI 02907-2423. The office can be reached at 401-300-5757 (phone) or 401-300-5656 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700447331 directly on the NPPES registry website.

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