Individual
DR. SUSAN S PORTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3651 COLLEGE BLVD, LEAWOOD, KS 66211-1904
(816) 389-6030
(816) 389-6034
Mailing address
828 W 56TH ST, KANSAS CITY, MO 64113-1111
(816) 389-6030
(816) 389-6034
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0419151
KS
207L00000X
Anesthesiology Physician
R4199
MO
Other
Enumeration date
05/04/2006
Last updated
07/09/2007
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