Taylor, Kenzie

Taylor, Kenzie is an individual health care provider with primary practice located at 980 S Saint Augustine St , Pulaski WI 54162-9453. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Taylor, Kenzie can be contacted via phone (920) 822-7700.

Contact Information

Primary practice address
980 S Saint Augustine St Pulaski WI 54162-9453
Phone: (920) 822-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 14087 Wisconsin

Profile Details

NPI number 1992480727
LBN Legal business name Taylor, Kenzie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2023
Last updated Aug 3rd, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992480727 NPPES
Wisconsin MEDICAID 100246306

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