Porter, Kendra
Porter, Kendra is an individual health care provider with primary practice located at 1200 S Pokegama Ave Ste 160 , Grand Rapids MN 55744-4296. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Porter, Kendra can be contacted via phone (218) 999-0051.Contact Information
Primary practice address
1200 S Pokegama Ave Ste 160
Grand Rapids MN 55744-4296
Phone: (218) 999-0051
Fax: (218) 999-7020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 02638 | Minnesota |
Profile Details
| NPI number | 1598494635 |
|---|---|
| LBN Legal business name | Porter, Kendra |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2022 |
| Last updated | Jun 6th, 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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