TAYLOR KANE RICKENBAKER

VIRGINIA BEACH, VA
NPI1033450010
Former NameTAYLOR KANE JACOBSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: VA  0110007929)
Additional Taxonomies363AS0400X Physician Assistant Surgical
246ZS0410X Specialist/Technologist, Other Surgical Technologist
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-03-15
Last Update Date2022-01-19
Business Address
MRS. TAYLOR KANE RICKENBAKER PA-C
144 S GUM AVE
VIRGINIA BEACH, VA 23452-1221
Phone number: 229-291-1727
Mailing Address
MRS. TAYLOR KANE RICKENBAKER PA-C
144 S GUM AVE
VIRGINIA BEACH, VA 23452-1221
Phone number: 229-291-1727