Most Relevant Information
Provider Data
| NPI Number: | 1003345174 |
| Provider Name: | KASSIE LYNETTE JANE TAYLOR |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 002024281 |
Most Important Dates
| Enumeration Date: | 06/12/2017 |
| Last Updated: | 06/12/2017 |
Provider Practice Location
6514 S ACADEMY BLVD
COLORADO SPRINGS
CO
809068614
Practice Location Phone/Fax
| Phone: | 7193874385 |
| Fax: |
Provider Mailing Location
6514 S ACADEMY BLVD
COLORADO SPRINGS
CO
809068614
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |