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NPI Code Detail

MEDICARE: KAYE REYNOLDS TAYLOR

MEDICARE:   KAYE REYNOLDS 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
1101Y00000XCounselor
2101YM0800XMental Health Counselor
3101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1205275096
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYE REYNOLDS TAYLOR
Provider Business Mailing Address
First Line : 1525 SPRING PLACE RD SE
Second Line : APT 523
City : CLEVELAND
State : TN
Zip : 37311-3299
Country : US
Telephone Number : 423-718-8309
Fax Number :
Provider Business Practice Location Address
First Line : 183 1ST ST NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37311-5003
Country : US
Telephone Number : 423-718-8309
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2013
Last Update Date : 06/14/2013

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Directions to “ KAYE REYNOLDS TAYLOR ” Practice Location

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