STEPHEN PORTER

LEXINGTON, KY
NPI1821452558
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: KY  53943)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-04-08
Last Update Date2020-07-31
Business Address
STEPHEN PORTER
2050 VERSAILLES RD
LEXINGTON, KY 40504-1405
Phone number: 859-257-4888
Mailing Address
STEPHEN PORTER
2050 VERSAILLES RD
LEXINGTON, KY 40504-1405
Phone number: