Individual
CHRISTIAN CHARLES TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 651-3661
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 651-3661
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-76014-041
KS
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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