Organization
K. G. PORTER, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH G PORTER MD (MD)
(423) 246-1200
Entity
Organization
Contact information
Practice address
1936 BROOKSIDE DR STE C, KINGSPORT, TN 37660-4654
(423) 246-1200
(423) 246-6300
Mailing address
1936 BROOKSIDE DR STE C, KINGSPORT, TN 37660-4654
(423) 246-1200
(423) 246-6300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35985
TN
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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