Porter, Kelli Rebecca

Porter, Kelli Rebecca is an individual health care provider with primary practice located at 5656 Bee Caves Rd Ste B101 , West Lake Hills TX 78746. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Porter, Kelli Rebecca can be contacted via phone (512) 301-6767.

Contact Information

Primary practice address
5656 Bee Caves Rd Ste B101 West Lake Hills TX 78746
Phone: (512) 301-6767
Fax: (512) 301-6776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 364SW0102X NCC ID# JON104317267 Louisiana

Profile Details

NPI number 1205836624
LBN Legal business name Porter, Kelli Rebecca
Credentials W.H.N.P. - B.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Mar 7th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205836624 NPPES
Georgia Other RN157053 WH NURSE PRACTIONER LICEN
Georgia MEDICAID 1529885 WH NURSE PRACTIONER LICEN
Georgia Other 80052 WH NURSE PRACTIONER LICEN
Georgia Other P01155808 WH NURSE PRACTIONER LICEN
Georgia Other AP04630 WH NURSE PRACTIONER LICEN
Georgia Other 36958 WH NURSE PRACTIONER LICEN
Georgia Other 5H631DF29 WH NURSE PRACTIONER LICEN

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