Taylor, Kathryn Grace

Taylor, Kathryn Grace is an individual health care provider with primary practice located at 1220 N Shore Pkwy Suite 6, Brandon MS 39047-6383. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Taylor, Kathryn Grace can be contacted via phone (601) 829-2939.

Contact Information

Primary practice address
1220 N Shore Pkwy Suite 6 Brandon MS 39047-6383
Phone: (601) 829-2939
Fax: (601) 829-2995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20018 Mississippi

Profile Details

NPI number 1235339516
LBN Legal business name Taylor, Kathryn Grace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2007
Last updated Apr 8th, 2014 - about 12 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 1235339516 NPPES
Mississippi MEDICAID 06400753
Mississippi Other P00622806
Mississippi Other 512I080155

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