Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kelly Jay Porter, PA-C

Individual provider Physician Assistant · NPI 1205598042

Mrs. Kelly Jay Porter, PA-C is a Physician Assistant in Destin, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6 Teepee Ct
Destin, FL 32541-4408
Phone: (347) 454-4643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1205598042
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 8, 2021
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026

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