Individual
KYRA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-8400
Mailing address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-8400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34.017176
OH
207P00000X
Emergency Medicine Physician
Primary
5151015934
MI
Other
Enumeration date
06/17/2022
Last updated
07/24/2024
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