Taylor, Jason R

Taylor, Jason R is an individual health care provider with primary practice located at 1035 N Emporia St Ste #105, Wichita KS 67214-2944. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Taylor, Jason R can be contacted via phone (316) 263-7285.

Contact Information

Primary practice address
1035 N Emporia St Ste #105 Wichita KS 67214-2944
Phone: (316) 263-7285
Fax: (316) 266-4682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0427594 Kansas
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0427594 Kansas

Profile Details

NPI number 1235136532
LBN Legal business name Taylor, Jason R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jul 19th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235136532 NPPES
Kansas MEDICAID 100321950A

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