Most Relevant Information
Provider Data
| NPI Number: | 1003477522 |
| Provider Name: | TYLER PORTER MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208M00000X |
| Specialty: | Hospitalist |
| License Number: | 2024008147 |
Most Important Dates
| Enumeration Date: | 06/25/2019 |
| Last Updated: | 03/13/2024 |
Provider Practice Location
4401 WORNALL RD
KANSAS CITY
MO
641113220
Practice Location Phone/Fax
| Phone: | 8169320340 |
| Fax: |
Provider Mailing Location
901 E 104TH ST # MS 400S
KANSAS CITY
MO
641314517
Provider Mailing Phone/Fax
| Phone: | 8165028752 |
| Fax: |