Individual
KERRI PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18414 SUMMIT DR, OMAHA, NE 68136-6457
(402) 332-3866
Mailing address
18414 SUMMIT DR, OMAHA, NE 68136-6457
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
59404
NE
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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