DR. KELLY E. PORTER (NPI# 1598946220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598946220 |
| Entity Type | Individual |
| Full Name | DR. KELLY E. PORTER |
| Credential | D.C. |
| Practice Address |
12351 Capital Blvd Wake Forest NC 27587-7425 |
| Practice Telephone | 9195560282 |
| Practice Fax Number | 9195540305 |
| Mailing Telephone | 9195560282 |
| Mailing Fax Number | 9195540305 |
| Enumeration Date | 2007-11-22 |
| Last Update Date | 2016-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3773 | NC | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639405806 | Kelly Marie Porter | Respite Care | 525 Harding Ave Nw, Massillon, OH 44646-3252 | 2009-10-23 |
| 1073086633 | Kelly Porter | Occupational Therapist | 625 Walnut St, Mckeesport, PA 15132-2806 | 2019-01-07 |
| 1841774205 | Kelly Porter | Counselor | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2018-09-21 |
| 1932655008 | Kelly Porter | Technician, Other | 3231 S Gulley Rd, Dearborn, MI 48124-4407 | 2016-08-29 |
| 1972919413 | Kelly M Porter | Counselor | 444 Center St, Manchester, CT 06040-3926 | 2014-07-04 |
| 1700160843 | Kelly Maryann Porter | Dietitian, Registered | 620 Skyline Dr, Jackson, TN 38301-3923 | 2011-10-07 |
| 1750611810 | Kelly M. Porter | Nurse Practitioner | 3333 Burnet Ave, Ml 2001, Cincinnati, OH 45229-3026 | 2010-01-12 |
| 1437331873 | Kelly Porter | Physician Assistant | 101 Orchard Dr, Trafford, PA 15085-1640 | 2007-11-28 |
| Street Address |
12351 CAPITAL BLVD |
| City | WAKE FOREST |
| State | NC |
| Zip Code | 27587-7425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689860637 | Adam Samuel Rabinowitz | Chiropractor | 12351 Capital Blvd, Wake Forest, NC 27587-7425 | 2007-09-23 |
| 1104003508 | Porter & Rabinowitz Chiropractic, Pllc | Chiropractor | 12351 Capital Blvd, Wake Forest, NC 27587-7425 | 2008-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713080 | Catherine Restrepo | Speech-Language Pathologist | 900 S Franklin St, Ste 201, Wake Forest, NC 27587 | 2020-06-03 |
| 1942760277 | Samantha Fae Pugh | Occupational Therapist | 200 Dr. Calvin Jones Hwy, Suite 200, Wake Forest, NC 27587 | 2019-03-22 |
| 1851863609 | The Counseling Collective | Counselor | 1764 Heritage Center Drive, 204, Wake Forest, NC 27587 | 2018-12-18 |
| 1891270856 | Halston Hoke | Speech-Language Pathologist | 620 Dr. Calvin Jones Hwy Ste 200, Wake Forest, NC 27587 | 2018-09-26 |
| 1710465620 | Amy K Tarnowski | Physical Therapist | The Lodge At Wake Forest, 1151 South Main Street, Wake Forest, NC 27587 | 2018-08-02 |
| 1518452341 | Language and Literacy 365, Pllc | Speech-Language Pathologist | 956 Templeridge Rd, Wake Forest, NC 27587 | 2018-06-25 |
| 1467951723 | Justin Mitchell | Physical Therapist | 843 Durham Rd Suite 110, Wake Forest, NC 27587 | 2018-02-01 |
| 1124544499 | Carolina Concussion & Physical Medicine, Pllc | Chiropractor | 120 Capcom Aveune, Suite 104, Wake Forest, NC 27587 | 2017-08-18 |
| 1902293889 | Katherine Armine Lorch | Student in an Organized Health Care Education/Training Program | 3000 Rogers Road Ste 210, Wake Forest, NC 27587 | 2015-04-18 |
| 1437553302 | Raleigh Durham Medical Group, Pa | Family Medicine | 620 Dr Calvin Jones Highway, Ste 212, Wake Forest, NC 27587 | 2014-10-21 |
| Find all providers in zip 27587 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235608647 | Stephanie Erin Wenig | Chiropractor | 610 Dr Calvin Jones Hwy # 104, Wake Forest, NC 27587-3100 | 2018-11-14 |
| 1134468440 | K and S Wellness LLC | Chiropractor | 610 Dr Calvin Jones Hwy, Suite 104, Wake Forest, NC 27587-3100 | 2013-02-06 |
| 1689860637 | Adam Samuel Rabinowitz | Chiropractor | 12351 Capital Blvd, Wake Forest, NC 27587-7425 | 2007-09-23 |
| 1093883829 | Kevin Horton O'briant | Chiropractor | 1986 S Main St, Wake Forest, NC 27587-9336 | 2006-12-01 |
| 1245262328 | Russ C. Redd | Chiropractor | 1269 S Main St, Wake Forest, NC 27587-9282 | 2006-07-07 |
| 1528027570 | Jack Gorlesky | Chiropractor | 301 S White St, Wake Forest, NC 27587-2916 | 2006-03-20 |
| 1346219128 | Mary Barker Taylor | Chiropractor | 120 Capcom Ave, Suite 104, Wake Forest, NC 27587-6530 | 2006-03-15 |
| 1740275072 | Shawn P Phelan | Chiropractor | 851 Wake Forest Business Park, Ste. E, Wake Forest, NC 27587-7366 | 2005-09-13 |
| 1316332307 | Russ C Redd Dc Pllc | Chiropractor | 10405 Ligon Mill Rd Ste F, Wake Forest, NC 27587-5013 | 2015-04-06 |
| 1740670926 | Shelly Dranko | Chiropractor | 301 S White St, Wake Forest, NC 27587-2916 | 2015-01-27 |
| Find all providers in WAKE FOREST | ||||
| City | WAKE FOREST |
| Zip Code | 27587 |
Please comment or provide details below to improve the information on DR. KELLY E. PORTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.