Individual
KATHLEEN P PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3120 ERDMAN AVE, BALTIMORE, MD 21213-1720
(410) 558-4800
(410) 276-7226
Mailing address
3501 SINCLAIR LN, BALTIMORE, MD 21213-2029
(410) 732-8800
(410) 534-2392
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R187544
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376751500
—
MD
Enumeration date
02/03/2012
Last updated
11/30/2015
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