Individual
KELSEY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2148 ASHFORD DR, CLOVIS, NM 88101-4469
(575) 935-1178
(575) 935-1177
Mailing address
9957B CHARIOT LOOP, CLOVIS, NM 88101-2432
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01283600
NJ
Other
Enumeration date
08/08/2023
Last updated
04/24/2026
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