Individual
VINCENT ALLEN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 LODGE LN APT 237, LOUISVILLE, KY 40218-2744
(502) 495-1057
Mailing address
3500 LODGE LN APT 237, LOUISVILLE, KY 40218-2744
(502) 495-1057
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R1286
KY
Other
Enumeration date
02/10/2007
Last updated
07/08/2007
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