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TYLER PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-0340
Mailing address
901 E 104TH ST # MS 400S, KANSAS CITY, MO 64131-4517
(816) 502-8752

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2019022806
MO
208M00000X
Hospitalist Physician
2024008147
MO

Other

Enumeration date
06/25/2019
Last updated
03/13/2024
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