Katelyn Taylor
Physician Assistant in Green Bay, WI. Individual provider (NPI-1).
NPI number1053982017
StatusActive
Last updated in NPPESFeb 20, 2023
Details
- NPI
- 1053982017
- Entity type
- Individual (NPI-1)
- Name
- Katelyn Taylor
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2021
- Certification date
- Feb 20, 2023
- Last updated
- Feb 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5482-23 | WI | Yes |
Practice location
3059 Voyager DrGreen Bay, WI 54311-8303
Phone 920-965-0345
Mailing address
3059 Voyager DrGreen Bay, WI 54311-8303
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