Individual
KEVIN WAYNE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
PO BOX 36900, LAS VEGAS, NV 89133-6900
(702) 240-1215
(702) 243-7531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT199101
PA
2085R0202X
Diagnostic Radiology Physician
16863
NV
2085R0202X
Diagnostic Radiology Physician
51077
AZ
Other
Enumeration date
06/02/2011
Last updated
05/23/2017
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