Porter, Kathleen P
Porter, Kathleen P is an individual health care provider with primary practice located at 3120 Erdman Ave , Baltimore MD 21213-1720. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Porter, Kathleen P can be contacted via phone (410) 558-4800.Contact Information
Primary practice address
3120 Erdman Ave
Baltimore MD 21213-1720
Phone: (410) 558-4800
Fax: (410) 276-7226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R187544 | Maryland |
Profile Details
| NPI number | 1891067989 |
|---|---|
| LBN Legal business name | Porter, Kathleen P |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2012 |
| Last updated | Nov 30th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891067989 | NPPES |
| Maryland | MEDICAID | 376751500 |
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