Individual
KEVIN MICHAEL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22127 CLARY SAGE DR, FRANKFORT, IL 60423-7999
(815) 274-3506
Mailing address
22127 CLARY SAGE DR, FRANKFORT, IL 60423-7999
(815) 274-3506
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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