Porter, Angel

Porter, Angel is an individual health care provider with primary practice located at 3303 Fern Valley Rd , Louisville KY 40213-3529. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Occupational Medicine. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Porter, Angel can be contacted via phone (502) 964-4889.

Contact Information

Primary practice address
3303 Fern Valley Rd Louisville KY 40213-3529
Phone: (502) 964-4889
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA637 Kentucky
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X PA637 Kentucky

Profile Details

NPI number 1558562629
LBN Legal business name Porter, Angel
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Jan 17th, 2015 - about 9 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 1558562629 NPPES
Kentucky Other PA637 PA LICENSE

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