IndividualActive
David Porter, PA-C
NPI 1154831642 · Medical Physician Assistant · Merriam, KS
Provider details
- NPI number
- 1154831642
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 2017036354 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7450 Kessler St Ste 202
Merriam, KS 66204-2553
Phone: (913) 632-9480
Fax: (913) 632-9499
Approximate (ZIP-level) locationGet directions
Mailing address
7450 Kessler St Ste 202
Merriam, KS 66204-2553
Registry dates
- Enumerated
- 2017-10-10
- Last updated
- 2025-07-02
- Certified
- 2025-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.