Porter, Kelly Jay

Porter, Kelly Jay is an individual health care provider with primary practice located at 6 Teepee Ct , Destin FL 32541-4408. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Porter, Kelly Jay can be contacted via phone (347) 454-4643.

Contact Information

Primary practice address
6 Teepee Ct Destin FL 32541-4408
Phone: (347) 454-4643
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1205598042
LBN Legal business name Porter, Kelly Jay
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2021
Last updated Oct 8th, 2021 - about 3 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.

Request for update

Popular Providers