Individual
NICHOLAS PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 W WALNUT ST, COLUMBUS, KS 66725-1121
(620) 429-1860
Mailing address
6610 SE QUAKERVALE RD, RIVERTON, KS 66770-4185
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14171-T
KS
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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