| Doctor Name: | MS. KATHY LYNN TAYLOR |
| NPI Number: | 1669414504 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN-FNP |
| License Number: | 209001075 |
| Business Practice Address: | 1400 W Main St Carmi, IL - 628211387 |
| Business Phone Number: | 6183824181 |
| Business Fax Number: | 6183823590 |
| Mailing Address: | 2473 County Road 800 E, BURNT PRAIRIE |
| State: | IL |
| Postal Code: | 628202032 |
| Phone Number: | 6188965864 |
| Fax Number: | |
| NPI Enumeration Date: | 06/12/2006 |
| NPI Last Update Date: | 05/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209001075 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |