Individual
KAY T TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 543-3449
(706) 543-5744
Mailing address
PO BOX 3209, INDIANAPOLIS, IN 46206-3209
(706) 543-3449
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN050103
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000975631A
—
GA
Enumeration date
06/08/2006
Last updated
12/31/2014
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