Individual
KISHA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
10063 HIGH PINES DR, BATON ROUGE, LA 70809-5916
(225) 454-9395
Mailing address
10063 HIGH PINES DR, BATON ROUGE, LA 70809-5916
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN106872
LA
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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