Individual
DR. JASON R TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1035 N EMPORIA ST, STE #105, WICHITA, KS 67214-2944
(316) 263-7285
(316) 266-4682
Mailing address
1035 N EMPORIA ST, STE #105, WICHITA, KS 67214-2944
(316) 263-7285
(316) 266-4682
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0427594
KS
207RN0300X
Nephrology Physician
Primary
0427594
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100321950A
—
KS
Enumeration date
06/30/2005
Last updated
07/19/2018
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