Individual
LEWIS D TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
423 N MAIN ST, ROSSVILLE, KS 66533-9803
(785) 584-6705
(785) 584-6817
Mailing address
423 N MAIN ST, ROSSVILLE, KS 66533-9803
(785) 584-6705
(785) 584-6817
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00653
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100336570C
—
KS
Enumeration date
08/03/2006
Last updated
01/26/2017
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