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NPI Code Detail

MEDICARE: DR. TAYLOR SMALLEY KANG

MEDICARE:  DR. TAYLOR SMALLEY KANG
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
1367500000XCertified Registered Nurse AnesthetistAPN.1000454-CRNACO

General Provider Information

NPI Number : 1710713839
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAYLOR SMALLEY KANG
Provider Business Mailing Address
First Line : 3915 W 119TH MEWS
Second Line :
City : WESTMINSTER
State : CO
Zip : 80031-5026
Country : US
Telephone Number : 417-260-5252
Fax Number :
Provider Business Practice Location Address
First Line : 200 EXEMPLA CIR
Second Line :
City : LAFAYETTE
State : CO
Zip : 80026-3370
Country : US
Telephone Number : 970-224-2985
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2024
Last Update Date : 04/17/2026

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Directions to “ DR. TAYLOR SMALLEY KANG ” Practice Location

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