Taylor, Kakecha Tiwana

Taylor, Kakecha Tiwana is an individual health care provider with primary practice located at 1161 Church Rd W , Southaven MS 38671. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Taylor, Kakecha Tiwana can be contacted via phone (662) 253-1067.

Contact Information

Primary practice address
1161 Church Rd W Southaven MS 38671
Phone: (662) 253-1067
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 29839 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 904746 Mississippi

Profile Details

NPI number 1447478342
LBN Legal business name Taylor, Kakecha Tiwana
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Sep 19th, 2023 - about 2 years ago

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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