MEDICARE: KENNETH L. KAYLOR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	G87116	CA

General Provider Information

NPI Number	:	1093775439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH L. KAYLOR M.D.

Provider Business Mailing Address
First Line	:	1830 FLOWER ST
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93305-4144
Country	:	US
Telephone Number	:	661-872-3311
Fax Number	:	661-872-3366

Provider Business Practice Location Address
First Line	:	1830 FLOWER ST
Second Line	:	144
City	:	BAKERSFIELD
State	:	CA
Zip	:	93305-4144
Country	:	US
Telephone Number	:	661-872-3311
Fax Number	:	661-872-3366

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	07/09/2007

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