Individual
KENT TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, ARNP
Contact information
Practice address
507 MORNINGSIDE ST, IDA GROVE, IA 51445-1636
(573) 489-4759
Mailing address
5309 REDCASTLE CT, COLUMBIA, MO 65203-5134
(573) 489-4759
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
D061608
IA
367500000X
Certified Registered Nurse Anesthetist
092286
MO
Other
Enumeration date
04/13/2006
Last updated
10/03/2025
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