KIMBERLY JEAN PORTER

BARKSDALE AFB, LA
NPI1780646612
Former NameKIMBERLY JEAN EVANS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PA.200235)
Enumeration Date2006-04-05
Last Update Date2019-08-16
Business Address
Mrs. KIMBERLY JEAN PORTER PAC
243 CURTISS RD
BARKSDALE AFB, LA 71110-2425
Phone number: 318-456-7320
Mailing Address
Mrs. KIMBERLY JEAN PORTER PAC
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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