| 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 |