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Individual

MS. KELLY PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
101 ORCHARD DR, TRAFFORD, PA 15085-1640
(412) 856-7332
Mailing address
101 ORCHARD DR, TRAFFORD, PA 15085-1640
(412) 856-7332

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA053045
PA

Other

Enumeration date
11/28/2007
Last updated
12/17/2012
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