Kilee Jo Taylor
Family Medicine in Provo, UT. Individual provider (NPI-1).
NPI number1124620232
StatusActive
Last updated in NPPESJan 27, 2021
Details
- NPI
- 1124620232
- Entity type
- Individual (NPI-1)
- Name
- Kilee Jo Taylor
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 12, 2020
- Certification date
- Jan 9, 2021
- Last updated
- Jan 27, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 5330397-4405 | UT | Yes |
Practice location
1900 N State St Ste 103Provo, UT 84604-1354
Phone 801-669-5758
Mailing address
1900 N State St Ste 103Provo, UT 84604-1354
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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