Katelynn Nicole Taylor, MSPA, PA-C
Physician Assistant in Independence, MO. Individual provider (NPI-1).
NPI number1548096829
StatusActive
Last updated in NPPESOct 11, 2024
Details
- NPI
- 1548096829
- Entity type
- Individual (NPI-1)
- Name
- Katelynn Nicole Taylor
- Credential
- MSPA, PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2024
- Certification date
- Oct 11, 2024
- Last updated
- Oct 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2024038711 | MO | Yes |
Practice location
17525 Medical Center PkwyIndependence, MO 64057-1824
Phone 816-994-3150 · Fax 816-359-3044
Mailing address
17525 Medical Center PkwyIndependence, MO 64057-1824
Phone 816-994-3150 · Fax 816-359-3044
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