Porter, Kenneth

Porter, Kenneth is an individual health care provider with primary practice located at 15505 127Th St , Lemont IL 60439-4433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Porter, Kenneth can be contacted via phone (630) 257-2265.

Contact Information

Primary practice address
15505 127Th St Lemont IL 60439-4433
Phone: (630) 257-2265
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-074508 Illinois

Profile Details

NPI number 1174639645
LBN Legal business name Porter, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jan 26th, 2011 - about 15 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.

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