Individual
JILLIAN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
10232 SHELBYVILLE RD, LOUISVILLE, KY 40223-2978
(502) 785-4641
Mailing address
10232 SHELBYVILLE RD, LOUISVILLE, KY 40223-2978
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5475
KY
Other
Enumeration date
11/20/2015
Last updated
07/26/2023
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