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

MRS. KIMBERLY JEAN PORTER, PAC

Active

MRS. KIMBERLY JEAN PORTER, PAC is a Physician Assistant healthcare provider located in BARKSDALE AFB, Louisiana. NPI 1780646612 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BARKSDALE AFB, LA

Registration Details

NPI Number
1780646612
Provider Type
Individual
Gender
Female
NPI Issued
Apr 5, 2006 (20.320645422653 yrs)
Last Updated
Aug 16, 2019
License
PA.200235 (LA)

Practice Information

Address
243 CURTISS RD
BARKSDALE AFB, LA, 711102425
Browse LA providers · Browse ZIP 71110
Phone
3184567320
Fax
3184566246
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BARKSDALE AFB, LA

Name Credential NPI
MR. DAVID WAYNE SPAULDING 1225366701
MELANIE M. JOHNSON PA-C 1205166881
MR. BEAU J TAYLOR PA-C 1548685696
CATRINA TIA MOORE PA-C 1467879973
JOYANNE TESEI PA 1225415920
BRANDY SHANNON WILLIAMS PA-C 1134633654
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.