Most Relevant Information
Provider Data
NPI Number: | 1003373945 |
Provider Name: | KAI PORTER |
Entity Type: | Individual |
Taxonomy Code: | 251B00000X |
Specialty: | Case Management |
License Number: |
Most Important Dates
Enumeration Date: | 02/27/2019 |
Last Updated: | 02/27/2019 |
Provider Practice Location
830 EZZARD CHARLES DR
CINCINNATI
OH
452142525
Practice Location Phone/Fax
Phone: | 5133816672 |
Fax: |
Provider Mailing Location
305 LINDEN ST APT 2
LUDLOW
KY
410161436
Provider Mailing Phone/Fax
Phone: | |
Fax: |