Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM PORTER, RPH
Active Sole ProprietorKIM PORTER, RPH is a Pharmacist healthcare provider located in PETERSBURG, Texas. NPI 1457997850 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · PETERSBURG, TX
Registration Details
- NPI Number
- 1457997850
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2019 (6.7516710007809 yrs)
- Last Updated
- Nov 20, 2019
- Licenses
-
2350 (TX)20809 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1522 MAIN STREETPETERSBURG, TX, 79250Browse TX providers · Browse ZIP 79250
- Phone
- 8066672231
- Fax
- 8066670170
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.