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Individual

TIFFANY TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-6670
(913) 588-3365
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 588-6670
(913) 588-3365

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
13-87619-072
KS
367500000X
Certified Registered Nurse Anesthetist
2005020997
MO

Other

Enumeration date
05/01/2009
Last updated
12/15/2019
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