Individual
DR. KALYSA RENEE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 969-9845
Mailing address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 969-9845
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
57.247061
OH
207L00000X
Anesthesiology Physician
60862
MN
207LP3000X
Pediatric Anesthesiology Physician
Primary
35.139502
OH
Other
Enumeration date
05/20/2015
Last updated
06/17/2020
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