ANGEL PORTER

LOUISVILLE, KY
NPI1558562629
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KY  PA637)
Additional Taxonomies2083X0100X Preventive Medicine, Occupational Medicine
(Licence: KY  PA637)
Enumeration Date2007-05-29
Last Update Date2015-01-17
Business Address
-- ANGEL PORTER PA
3303 FERN VALLEY RD
LOUISVILLE, KY 40213-3529
Phone number: 502-964-4889
Mailing Address
-- ANGEL PORTER PA
PO BOX 950248
LOUISVILLE, KY 40295-0248
Phone number: 502-489-5730