Individual provider · Type 1 NPI

Kimberly Jean Porter, PAC

Physician Assistant · Barksdale Afb, LA

NPI number 1780646612 Active

Practice location

243 Curtiss Rd
Barksdale Afb, LA 71110-2425

Fax (318) 456-6246

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870

Other practice locations

  • 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3180 · (318) 212-5000
  • 2400 Hospital Dr, Bossier City, LA 71111-2385 · (318) 212-7000
  • 2600 Greenwood Rd, Shreveport, LA 71103-3908 · (318) 212-4000
  • 8001 Youree Dr, Shreveport, LA 71115-2302 · (318) 212-3000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA.200235 (LA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1780646612

Kimberly Jean Porter, PAC's National Provider Identifier is 1780646612, issued on Apr 5, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Barksdale Afb, LA. The record was last updated on Aug 16, 2019.