Individual
DR. BRIANNA R PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
500 SW 3RD ST, SUITE D, LEES SUMMIT, MO 64063-2211
(816) 246-2663
(816) 246-2614
Mailing address
824 SW WINDJAMMER DR, LEES SUMMIT, MO 64082-4055
(816) 537-5084
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2004010211
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34765015
BCBS
MO
Enumeration date
01/09/2007
Last updated
07/08/2007
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