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1104653336 NPI number — KALI TAYLOR MEISENHEIMER PA-C

NPI Number: 1104653336
Health Care Provider/Practitioner: KALI TAYLOR MEISENHEIMER PA-C

Information about “1104653336” NPI (KALI TAYLOR MEISENHEIMER PA-C) exists in 1104653336 in HTML format HTML  |  1104653336 in plain Text format TXT  |  1104653336 in PDF (Portable Document Format) PDF  |  1104653336 in an XML format XML  formats.

NPI Number : 1104653336 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104653336",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MEISENHEIMER",
    "FirstName": "KALI",
    "MiddleName": "TAYLOR",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TAYLOR",
    "OtherFirstName": "KALI",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2902 OAKLAND DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BILLINGS",
    "MailingAddressStateName": "MT",
    "MailingAddressPostalCode": "59102-3761",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "406-750-4017",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "801 N 29TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BILLINGS",
    "PracticeLocationAddressStateName": "MT",
    "PracticeLocationAddressPostalCode": "59101-0905",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "406-238-2500",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/19/2024",
    "LastUpdateDate": "09/20/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "MED-PAC-LIC-145546",
        "LicenseNumberStateCode": "MT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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