Individual
KATELYNN NICOLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPA, PA-C
Contact information
Practice address
17525 MEDICAL CENTER PKWY, INDEPENDENCE, MO 64057-1824
(816) 994-3150
(816) 359-3044
Mailing address
17525 MEDICAL CENTER PKWY, INDEPENDENCE, MO 64057-1824
(816) 994-3150
(816) 359-3044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2024038711
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2024038711
MISSOURI LICENSE
MO
Enumeration date
09/12/2024
Last updated
10/11/2024
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