Individual ProviderKai TaylorPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address51 N 39th St, Philadelphia, PA 19104-2640(215) 662-8000(302) 753-0028PECOS EnrollmentBased on the most recent information from CMS, provider Kai Taylor is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1417736430Provider TypeIndividualFull NameTaylor, KaiCredentialPA-CGenderMaleSole ProprietorNoEnumeration Date9/28/2023Last Updated9/28/2023Contact InformationPractice LocationPractice Address51 N 39th St, Philadelphia, PA 19104-2640Phone(215) 662-8000FaxUnlisted FaxMailing LocationMailing Address1239 Ipswich Dr, Wilmington, DE 19808-3031Phone(302) 753-0028FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer