Individual
MCKENNA ANNE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 CHAUTAUQUA BLVD, VALLEY CITY, ND 58072-3145
(701) 845-6000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC1168
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/27/2025
Last updated
07/07/2025
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