Porter, Taylor L

Porter, Taylor L is an individual health care provider with primary practice located at 1811 Wakarusa Dr Ste 102 , Lawrence KS 66047-2082. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Porter, Taylor L can be contacted via phone (785) 371-4921.

Contact Information

Primary practice address
1811 Wakarusa Dr Ste 102 Lawrence KS 66047-2082
Fax: (888) 965-5147
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 04-22998 Kansas

Profile Details

NPI number 1760423362
LBN Legal business name Porter, Taylor L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Sep 26th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760423362 NPPES
Kansas MEDICAID 100180200B
Kansas Other 100908

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