KEITH PORTER

Anesthesiology

Active Individual
NPI: 1376923649

Practice Address

391 SOUTHCREST CIR STE 108
Southaven, MS 38671

Phone: (662) 349-2659

Specialties

Specialty Code Primary License
Anesthesiology 207L00000X Yes 26479 (MS)

Frequently Asked Questions

NPI 1376923649 is the National Provider Identifier for KEITH PORTER, a Anesthesiology provider located in Southaven, MS. This NPI was enumerated on June 2, 2015.
KEITH PORTER practices at 391 SOUTHCREST CIR STE 108, Southaven, MS 38671.

Quick Facts

NPI
1376923649
Type
Individual
Enumerated
Jun 2, 2015
Last Updated
Jun 3, 2019

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