Michelle Porter Otr Inc. in Moundridge - Pediatrics
Michelle Porter Otr Inc. - NPI 1477656940
Michelle Porter Otr Inc. is a Pediatrics in Moundridge, Kansas. Michelle Porter Otr Inc. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Michelle Porter Otr Inc. is 1477656940. The last update date is 2020-08-22.
Michelle Porter Otr Inc.'s current location address is 121 S. Christian Ave., Moundridge, Kansas. You can contact this provider via phone number 6203453000 and fax number 6203453042. The mailing address for Michelle Porter Otr Inc. is 121 S. Christian Ave., Moundridge, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michelle Porter Otr Inc. |
|---|---|
| Address | 121 S. Christian Ave., Moundridge, Kansas |
| Phone Number | 6203453000 |
| Fax Number | 6203453042 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Porter M Michelle |
| Credentials | OTR |
| Telephone Number | 6203453000 |
NPI Number Detail
| NPI Number | 1477656940 |
|---|---|
| Provider Enumeration Date | 2006-09-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 121 S. Christian Ave. |
|---|---|
| City | Moundridge |
| State | Kansas (KS) |
| Post Code | 671070743 |
| Phone Number | 6203453000 |
| Fax Number | 6203453042 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | 17-01284 |
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What is the unique 10-digit identification code issued to Michelle Porter Otr Inc. by the Centers for Medicare & Medicaid Services?
The Michelle Porter Otr Inc. has been assigned the NPI (National Provider Identifier) 1477656940 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Michelle Porter Otr Inc.?
The Michelle Porter Otr Inc. is physically situated at 121 S. Christian Ave., in the city of Moundridge, state of KS, with the postal code 671070743.
What is Michelle Porter Otr Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michelle Porter Otr Inc.'s specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 225Xp0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1477656940 to Michelle Porter Otr Inc.?
The Centers for Medicare & Medicaid Services assigned the 1477656940 to Michelle Porter Otr Inc. on 2006-09-07.
When was the information related to Michelle Porter Otr Inc. most recently updated or refreshed?
The details pertaining to the Michelle Porter Otr Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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