Individual
KIMBERLY PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5151 N 9TH AVE, PENSACOLA, FL 32504-8721
(850) 416-7000
Mailing address
624 EDITH LN, PENSACOLA, FL 32534-1348
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
2750402
FL
Other
Enumeration date
10/17/2014
Last updated
01/29/2015
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