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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANGEL PORTER, PA

Active

ANGEL PORTER, PA is a Physician Assistant healthcare provider located in LOUISVILLE, Kentucky. NPI 1558562629 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LOUISVILLE, KY

Registration Details

NPI Number
1558562629
Provider Type
Individual
Gender
Female
NPI Issued
May 29, 2007 (19.209257468978 yrs)
Last Updated
Jan 17, 2015
Licenses
PA637 (KY)
PA637 (KY)

Practice Information

Address
3303 FERN VALLEY RD
LOUISVILLE, KY, 402133529
Browse KY providers · Browse ZIP 40213
Phone
5029644889
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Occupational Medicine

Other Physician Assistant Providers in LOUISVILLE, KY

Name Credential NPI
MELISSA DAWN EDDS PA-C 1578566600
MR. JAMES SCOTT GAGEL PA 1073518262
MICHAEL E GILBERT PA-C 1265438550
CANDY SUE FISCHBACH PA-C 1992703383
KIRK A FOUGNIE PA-C 1295734747
MRS. TRACEY GREGORY MAYNOR PAC 1043219520
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.