person
Kirk Porter, PA-C
Medical Physician Assistant in Jonesboro, Arkansas
NPI 1366801870

Kirk Porter is a Medical Physician Assistant based in Jonesboro, AR and is specialized in Medical. Kirk Porter practices in Jonesboro, AR and has the professional credentials of PA-C. The NPI Number for Kirk Porter is 1366801870 and holds a License No. PT2016-011 (Arkansas).

The current practice location address for Kirk Porter is 1107 E Matthews Ave, Jonesboro, AR and can be reached out via phone at 870-931-4442 and via fax at 870-802-0205. You can also correspond with Kirk Porter through the mailing address at 1107 E MATTHEWS AVE, JONESBORO, AR - 72401-4315 (mailing address contact number: 870-931-4442).

Location: 1107 E Matthews Ave, Jonesboro, AR, 72401-4315
person
Provider Profile Details
NPI Number
1366801870
Provider Name
Kirk Porter
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1107 E Matthews Ave, Jonesboro, AR, 72401-4315
Phone Number
870-931-4442
Fax Number
870-802-0205
Provider Enumeration Date
02/12/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
212903795 05 AR
institution
Provider Business Practice Location Address Details
Address
1107 E Matthews Ave
City
State
Zip
72401-4315
Phone Number
870-931-4442
Fax Number
870-802-0205
person
Provider Business Mailing Address Details
Address
1107 E Matthews Ave
City
State
Zip
72401-4315
Phone Number
870-931-4442
Fax Number
870-802-0205
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PT2016-011 (Arkansas)
Definition
Definition to come...
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