Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KATHRYN DIANE TAILLIE, PA-C
ActiveMRS. KATHRYN DIANE TAILLIE, PA-C is a Physician Assistant healthcare provider located in WAUWATCSA, Wisconsin. NPI 1982146213 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WAUWATCSA, WI
Registration Details
- NPI Number
- 1982146213
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 17, 2016 (9.7307771458664 yrs)
- Last Updated
- Apr 6, 2021
- License
-
085.006036 (IL)
Practice Information
- Address
-
2885 N MAYFAIR RDWAUWATCSA, WI, 532224404Browse WI providers · Browse ZIP 53222
- Phone
- 4147716780
- Fax
- 4142382424
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.