Individual
KIMBERLY A TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8900 W UNIVERSITY ST UNIT 106, WICHITA, KS 67209-1569
(208) 416-2932
(855) 673-9190
Mailing address
1041 NW 50 RD, ATTICA, KS 67009-8852
(208) 416-2932
(855) 673-9190
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0102205312
VA
2085R0202X
Diagnostic Radiology Physician
20A22258
CA
2085R0202X
Diagnostic Radiology Physician
Primary
30214
KS
208VP0014X
Interventional Pain Medicine Physician
30214
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100455190A
—
KS
01
—
102913
BCBS
KS
01
—
11022676
MULTIPLAN
KS
01
—
203533
HPK
KS
01
—
231747
COVENTRY
KS
01
—
6543
PHS
KS
Enumeration date
06/28/2006
Last updated
03/18/2024
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