Provider Demographics
NPI:1043083603
Name:TAYLOR, KEDRICA MASSA (DNP, APRN, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:KEDRICA
Middle Name:MASSA
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1703 ROCKHILL RD APT 1131
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1401
Mailing Address - Country:US
Mailing Address - Phone:918-408-0560
Mailing Address - Fax:
Practice Address - Street 1:1703 ROCKHILL RD APT 1131
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1401
Practice Address - Country:US
Practice Address - Phone:918-408-0560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX931732207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine