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:
Health care specialties
Specialty | Code | License # | 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 last year |
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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