Individual
TAYLOR NEEDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9100 W 74TH ST, MERRIAM, KS 66204-4004
(913) 676-2000
Mailing address
9100 W 74TH ST, MERRIAM, KS 66204-4004
(913) 676-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
94-10049
KS
208000000X
Pediatrics Physician
94-10049
KS
Other
Enumeration date
03/26/2019
Last updated
06/23/2023
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