Individual
ANDREW STEPHEN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
6400 DUTCHMANS PKWY STE 250, LOUISVILLE, KY 40205-3354
(502) 587-9660
Mailing address
6400 DUTCHMANS PKWY STE 250, LOUISVILLE, KY 40205-3354
(502) 587-9660
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3019013
KY
Other
Enumeration date
02/10/2023
Last updated
02/15/2023
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