Kimberly Ann Pauline Porter
NPI #1376060962 in West Lafayette, Indiana
Provider Information
- NPI Number
- 1376060962
- Entity Type
- Individual
- Name
- Kimberly Ann Pauline Porter
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Aug 24, 2017
- Last Updated
- Aug 24, 2017
Practice Location
- Address
- 1400 W STATE ST STE C
- City
- West Lafayette
- State
- Indiana
- ZIP Code
- 47906-3438
- Phone
- (765) 494-0111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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