Individual
TAYLOR D HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5830 NW BARRY RD, KANSAS CITY, MO 64154-2778
(816) 880-6444
(816) 880-6021
Mailing address
PO BOX 413739, KANSAS CITY, MO 64141-3739
(717) 263-5562
(717) 263-1566
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2016022022
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2022025860
MO
Other
Enumeration date
05/05/2022
Last updated
09/19/2023
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