Conklin, Taylor Matthew

Conklin, Taylor Matthew is an sole proprietor health care provider with primary practice located at 2301 Holmes St , Kansas City MO 64108-2677. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Conklin, Taylor Matthew can be contacted via phone (816) 404-1000.

Contact Information

Primary practice address
2301 Holmes St Kansas City MO 64108-2677
Phone: (816) 404-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 051301301 Illinois
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 2018025572 Missouri

Profile Details

NPI number 1902486632
LBN Legal business name Conklin, Taylor Matthew
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2021
Last updated Jul 31st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902486632 NPPES
Illinois Other 051301301 ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION (IDFPR)
Illinois Other 2018025572 ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION (IDFPR)

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