Andrew W Porter Md | |
112 Point Cir Gilbertsville KY 42044-9224 | |
(270) 703-3309 | |
Not Available |
Full Name | Andrew W Porter Md |
---|---|
Speciality | Family Medicine |
Location | 112 Point Cir, Gilbertsville, Kentucky |
Authorized Official Name and Position | Teresa Johnson (BILLING AGENCY) |
Authorized Official Contact | 2703823112 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Andrew W Porter Md Po Box 15 Lynnville KY 42063-0015 Ph: (270) 382-3112 | Andrew W Porter Md 112 Point Cir Gilbertsville KY 42044-9224 Ph: (270) 703-3309 |
NPI Number | 1740439652 |
---|---|
Provider Enumeration Date | 09/16/2008 |
Last Update Date | 02/18/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740439652 | NPI | - | NPPES |
64208358 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20835 (Kentucky) | Primary |