Individual
KEARRA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Contact information
Practice address
2100 N HWY 360 STE 1413, GRAND PRAIRIE, TX 75050-1011
(512) 808-0353
Mailing address
1152 INDIAN RUN DR APT 1413, CARROLLTON, TX 75010-1185
(512) 808-0353
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1679212
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
1679212
TX
Other
Enumeration date
12/03/2024
Last updated
10/29/2025
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