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NPI Code Detail

MEDICARE: KURTIS ROBERT TAYLOR

MEDICARE: KURTIS ROBERT TAYLOR
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
1104100000XSocial Worker
2101Y00000XCounselor

General Provider Information

NPI Number : 1164184651
Entity Type Code : Individual
Provider Name (Legal Business Name) : KURTIS ROBERT TAYLOR
Provider Business Mailing Address
First Line : 1035 N HOLLAND SYLVANIA RD APT 6
Second Line :
City : TOLEDO
State : OH
Zip : 43615-4394
Country : US
Telephone Number : 419-276-1328
Fax Number :
Provider Business Practice Location Address
First Line : 5734 DOUGLAS RD
Second Line :
City : TOLEDO
State : OH
Zip : 43613-2038
Country : US
Telephone Number : 503-206-8856
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2021
Last Update Date : 01/09/2024

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Directions to “ KURTIS ROBERT TAYLOR ” Practice Location

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