Individual
KEVIN MARK TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3620 S ONG ST, AMARILLO, TX 79110-1337
(806) 567-2025
Mailing address
3620 S ONG ST, AMARILLO, TX 79110-1337
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
749356
TX
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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