Individual
MR. KIM HUNTER TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LMLP LCP
Contact information
Practice address
5815 BROADWAY, GREAT BEND, KS 67530
(620) 792-2544
(620) 792-7052
Mailing address
5815 BROADWAY, GREAT BEND, KS 67530
(620) 792-2544
(620) 792-7052
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0145
KS
103T00000X
Psychologist
Primary
070
KS
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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