Individual
MS. MARY MARGARET PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,CFNP
Contact information
Practice address
9879 KY RT 122, MC DOWELL, KY 41647-0247
(606) 377-3427
(606) 377-3492
Mailing address
PO BOX 247, 9879 KENTUCKY ROUTE 122, MC DOWELL, KY 41647-0247
(606) 377-3427
(606) 377-3466
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1043721
KY
363LF0000X
Family Nurse Practitioner
Primary
2505P
KY
363LF0000X
Family Nurse Practitioner
285898-22
KY
Other
Enumeration date
07/25/2006
Last updated
07/19/2011
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