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Individual

KENZIE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1910 ALABAMA ST, STURGEON BAY, WI 54235-3532
(920) 746-7200
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 746-7200

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14087
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100246306
WI
Enumeration date
06/20/2023
Last updated
12/11/2025
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