Organization
PORTER CHIROPRACTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LELAND L PORTER D.C. (PRESIDENT)
(620) 345-3000
Entity
Organization
Contact information
Practice address
121 S. CHRISTIAN AVE., MOUDRIDGE, KS 67107-0743
(620) 345-3000
(620) 345-3042
Mailing address
121 S. CHRISTIAN AVE., P.O. BOX 743, MOUNDRIDGE, KS 67107-0743
(620) 345-3000
(620) 345-3042
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04311
KS
Other
Enumeration date
09/12/2006
Last updated
12/10/2010
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