Porter, Kimberly

Porter, Kimberly is an individual health care provider with primary practice located at 25 W Main St , Conway NH 03818-6142. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Porter, Kimberly can be contacted via phone (603) 447-2111.

Contact Information

Primary practice address
25 W Main St Conway NH 03818-6142
Phone: (603) 447-2111
Fax: (603) 447-1021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 043805-21 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 043805-23 New Hampshire

Profile Details

NPI number 1588370563
LBN Legal business name Porter, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2023
Last updated Mar 11th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588370563 NPPES
New Hampshire Other 043805-23 APRN

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