Kinast-Porter, Susan K.

Kinast-Porter, Susan K. is an individual health care provider with primary practice located at N2950 State Road 67 , Lake Geneva WI 53147-2655. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Kinast-Porter, Susan K. can be contacted via phone (262) 245-0535.

Contact Information

Primary practice address
N2950 State Road 67 Lake Geneva WI 53147-2655
Phone: (262) 245-0535
Fax: (262) 245-2227
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 23108-020 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23108-20 Wisconsin

Profile Details

NPI number 1942229331
LBN Legal business name Kinast-Porter, Susan K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Oct 3rd, 2013 - about 11 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 1942229331 NPPES
Wisconsin Other 61018 DEAN HEALTH INSURANCE
Wisconsin Other KINASSUS DEAN HEALTH INSURANCE
Wisconsin MEDICAID 30467900 DEAN HEALTH INSURANCE
Wisconsin Other 1942229331 DEAN HEALTH INSURANCE
Wisconsin MEDICAID 1942229331 DEAN HEALTH INSURANCE

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