Porter, Kellie A
Porter, Kellie A is an sole proprietor health care provider with primary practice located at 1876 E Sabin Dr Ste 10 , Casa Grande AZ 85122-6197. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Porter, Kellie A can be contacted via phone (520) 836-9800.Contact Information
Primary practice address
1876 E Sabin Dr Ste 10
Casa Grande AZ 85122-6197
Phone: (520) 836-9800
Fax: (520) 836-1510
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP4957 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP4957 | Arizona |
Profile Details
NPI number | 1619314523 |
---|---|
LBN Legal business name | Porter, Kellie A |
Credentials | NP-C |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 31st, 2013 |
Last updated | Jul 7th, 2022 - about 2 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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