Individual
KASEY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 N DETROIT ST, XENIA, OH 45385-2909
(937) 610-4673
(937) 736-2615
Mailing address
100 CROWNE POINT PL, CINCINNATI, OH 45241-5427
(513) 743-7628
(513) 737-1107
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
366002
OH
Other
Enumeration date
10/14/2021
Last updated
10/30/2023
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