Provider Demographics
NPI:1083858070
Name:TAYLOR, KAY E (DC)
Entity Type:Individual
Prefix:
First Name:KAY
Middle Name:E
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2247 MEAD RD
Mailing Address - Street 2:
Mailing Address - City:WOLBACH
Mailing Address - State:NE
Mailing Address - Zip Code:68882-8229
Mailing Address - Country:US
Mailing Address - Phone:563-340-3333
Mailing Address - Fax:
Practice Address - Street 1:2247 MEAD RD
Practice Address - Street 2:
Practice Address - City:WOLBACH
Practice Address - State:NE
Practice Address - Zip Code:68882-8229
Practice Address - Country:US
Practice Address - Phone:563-340-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-22
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1563111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025757100Medicaid