Individual
KATELYN TAYLOR KELTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1950 DIAMOND PKWY, NORTH KANSAS CITY, MO 64116-4328
(816) 561-3003
(816) 889-1584
Mailing address
303 N FOXRIDGE DR APT 205, RAYMORE, MO 64083-7833
(816) 813-0607
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2020028651
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
03/20/2023
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