Individual
TAYLOR GRACE HALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3511 CLINTON PL STE C, LAWRENCE, KS 66047-2213
(785) 331-4488
(785) 331-4338
Mailing address
2200 SW 6TH AVE STE 104, TOPEKA, KS 66606-1707
(785) 354-8518
(785) 354-1255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02633
KS
363A00000X
Physician Assistant
PA975
AR
Other
Enumeration date
08/05/2019
Last updated
04/16/2025
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