Jennifer Marie Porto, PA-C

NPI #1104935303 in Overland Park, Kansas

Provider Information

NPI Number: 1104935303
Entity Type: Individual
Name: Jennifer Marie Porto, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 30, 2006
Last Updated: Dec 31, 2012

Practice Location

Address: 10600 MASTIN ST
City: Overland Park
State: Kansas
ZIP Code: 66212-5723
Phone: (913) 469-6447

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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