Individual
KATELYN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3059 VOYAGER DR, GREEN BAY, WI 54311-8303
(920) 965-0345
Mailing address
3059 VOYAGER DR, GREEN BAY, WI 54311-8303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5482-23
WI
Other
Enumeration date
07/09/2021
Last updated
02/20/2023
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