Individual
MRS. KATHERINE ANN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
15520 HOWE ST, OVERLAND PARK, KS 66224-3897
(913) 982-6348
Mailing address
15520 HOWE ST, OVERLAND PARK, KS 66224-3897
(913) 982-6348
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-14145
KS
183500000X
Pharmacist
2006028518
MO
1835P2201X
Ambulatory Care Pharmacist
Primary
1-14145
KS
1835P2201X
Ambulatory Care Pharmacist
2006028518
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-14145
KANSAS PHARMACIST LICENSE
KS
01
—
2006028518
MISSOURI PHARMACIST LICENSE
MO
01
—
RP-032172-L
PENNSYLVANIA PHARMACIST LICENSE
PA
Enumeration date
10/09/2021
Last updated
10/09/2021
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