Provider Demographics
NPI:1275762247
Name:TAYLOR, KARI DAWN (PC)
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:DAWN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1058
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-5058
Mailing Address - Country:US
Mailing Address - Phone:740-477-8877
Mailing Address - Fax:
Practice Address - Street 1:365 CENTER RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-2237
Practice Address - Country:US
Practice Address - Phone:216-462-0270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-10
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC 0700172101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional