Provider Demographics
NPI:1316425077
Name:POTE, KAITLYN (ND)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:
Last Name:POTE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9658 LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:HAGUE
Mailing Address - State:NY
Mailing Address - Zip Code:12836-2313
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:255 S CHAMPLAIN ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-4881
Practice Address - Country:US
Practice Address - Phone:518-586-4734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-03
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath