# DR. KALYSA RENEE PORTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194104307
- **Gender:** F
- **Credential:** M.D., M.P.H.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 57.247061 | OH | — |
| 207L00000X | Anesthesiology Physician | 60862 | MN | — |
| 207LP3000X | Pediatric Anesthesiology Physician | 35.139502 | OH | Yes |

## Other

- **Enumeration date:** 05/20/2015
- **Last updated:** 06/17/2020