Healthcare Provider Details

I. General information

NPI: 1528329364
Provider Name (Legal Business Name): TAYLOR LYNN BERTSCHY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAYLOR BERTSCHY DO

II. Dates (important events)

Enumeration Date: 06/07/2012
Last Update Date: 03/15/2023
Certification Date: 03/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 N HILLSIDE ST
WICHITA KS
67214-4976
US

IV. Provider business mailing address

PO BOX 667
WICHITA KS
67201-0667
US

V. Phone/Fax

Practice location:
  • Phone: 316-962-2000
  • Fax: 316-688-5208
Mailing address:
  • Phone: 316-685-1206
  • Fax: 316-688-5208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberOS19561
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number9407817
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: