Individual
KELLY JEAN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1091 STATE ROUTE 775, PROCTORVILLE, OH 45669-8809
(304) 654-0594
Mailing address
1091 STATE ROUTE 775, PROCTORVILLE, OH 45669-8809
(304) 654-0594
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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