Individual
DR. JOHN KENNETH PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1758 PARK PL STE 100B, MONTGOMERY, AL 36106-1133
(334) 265-8455
(334) 265-8456
Mailing address
1758 PARK PL STE 100B, MONTGOMERY, AL 36106-1133
(334) 265-8455
(334) 265-8456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO 1488
AL
207R00000X
Internal Medicine Physician
ED0291A
WV
Other
Enumeration date
07/24/2012
Last updated
10/27/2015
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