Organization · Type 2 NPI
K. G. Porter, Md, LLC
Specialist · Kingsport, TN
NPI number
1639343734
Active
Practice location
1936 Brookside Dr Ste C
Kingsport, TN 37660-4654
Fax (423) 246-6300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 35985 (TN) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1639343734
K. G. Porter, Md, LLC's National Provider Identifier is 1639343734, issued on Apr 18, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Kingsport, TN. The record was last updated on Apr 18, 2008.