Individual
DR. TAYLOR L PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1811 WAKARUSA DR STE 102, LAWRENCE, KS 66047-2082
(785) 371-4921
(888) 965-5147
Mailing address
1811 WAKARUSA DR STE 102, LAWRENCE, KS 66047-2082
(785) 371-4921
(888) 965-5147
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-22998
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100180200B
—
KS
01
—
100908
MEDICARE PTAN
KS
Enumeration date
06/08/2006
Last updated
09/26/2020
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