Andrew W Porter MD
Organization Active NPI Family Medicine Physician · Gilbertsville, KY
NPI 1740439652 · NPPES record last updated Feb 18, 2009
Key facts
- NPI
- 1740439652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 20835 (KY)
- Legal business name
- ANDREW W PORTER MD
- Practice address
- 112 Point Cir
Gilbertsville, KY 42044-9224 - Phone
- (270) 703-3309
- NPI assigned
- Sep 16, 2008
- Organization subpart
- No
Authorized official
- Name
- Teresa Johnson
- Title
- Billing Agency
- Phone
- (270) 382-3112
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 20835 | KY | Yes |
Addresses
Primary practice location
112 Point Cir
Gilbertsville, KY 42044-9224
Mailing address
PO Box 15
Lynnville, KY 42063-0015
Phone (270) 382-3112
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64208358 | Medicaid | KY |
Other providers in Gilbertsville, KY
All providers in Gilbertsville, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.