Individual
KEVIN ALEXANDER PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
935 CHESAPEAKE WAY, COLUMBUS, GA 31907-7340
(706) 615-5583
Mailing address
935 CHESAPEAKE WAY, COLUMBUS, GA 31907-7340
(706) 615-5583
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN265376
GA
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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