Tate, Jesalyn Autumn

Tate, Jesalyn Autumn is an individual health care provider with primary practice located at 2000 Olathe Fl 4C , Kansas City KS 66160-3438. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Tate, Jesalyn Autumn can be contacted via phone (913) 588-1227.

Contact Information

Primary practice address
2000 Olathe Fl 4C Kansas City KS 66160-3438
Phone: (913) 588-1227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 04-45028 Kansas
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 04-45028 Kansas

Profile Details

NPI number 1629427497
LBN Legal business name Tate, Jesalyn Autumn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2016
Last updated Aug 26th, 2021 - about 4 years 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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