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Contact Information

AMANDA L PORTER, MD
419 S CORAL ST
KALKASKA, MI49646-2503
 Phone: 231-258-7777
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AMANDA L PORTER · (Female)

NPI Number 1639638729
Status Active
Credentials MD
Entity Individual
Enumeration date 03/18/2019
Last updated 04/09/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • FL License # ME147513
  • FL License # TRN29276
  • MI License # 4301512346
  • SC License # 90096
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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