person
Dustin Blake Porter
Student in an Organized Health Care Education/Training Program in Louisville, Kentucky
NPI 1205178399

Dustin Blake Porter is a Student in an Organized Health Care Education/Training Program based in Louisville, KY. Dustin Blake Porter practices in Louisville, KY. The NPI Number for Dustin Blake Porter is 1205178399 and holds a License No. (Kentucky).

The current practice location address for Dustin Blake Porter is 550 S Jackson St, Louisville, KY and can be reached out via phone at 502-852-6191.

Location: 550 S Jackson St, Louisville, KY, 40202-1622
person
Provider Profile Details
NPI Number
1205178399
Provider Name
Dustin Blake Porter
Credential
Provider Entity Type
Individual
Gender
Male
Address
550 S Jackson St, Louisville, KY, 40202-1622
Phone Number
502-852-6191
Fax Number
Provider Enumeration Date
03/26/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
550 S Jackson St
City
State
Zip
40202-1622
Phone Number
502-852-6191
Fax Number
person
Provider Business Mailing Address Details
Address
550 S Jackson St
City
State
Zip
40202-1622
Phone Number
502-852-6191
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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