Organization
FORT HAYS STATE UNIVERSITY
Active
Parent organization
NO
Other names
Herndon Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NO
Authorized official
DR. KARMEN PORTER PH.D, CCC-SLP (CHAIR)
(785) 628-5366
Entity
Organization
Contact information
Practice address
600 PARK ST, HERNDON CLINIC ALBERTSON HALL 131, HAYS, KS 67601-4009
(785) 628-5366
(785) 628-5271
Mailing address
600 PARK ST, HERNDON CLINIC ALBERTSON HALL 131, HAYS, KS 67601-4009
(785) 628-5366
(785) 628-5271
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116208
BLUE CROSS BLUE SHIELD
KS
Enumeration date
05/09/2007
Last updated
08/17/2023
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