TAYLOR KETTLE WILSON PA-C
NPI 1710573134
Student in an Organized Health Care Education/Training Program in Rancho Cucamonga, CA

Q: What is Taylor Wilson's NPI number?

The NPI number for Taylor Wilson is 1710573134. It was assigned to this individual provider in the NPPES registry on December 19, 2020. The provider is also known as Taylor Alexandra Kettle.

Q: What is Taylor Wilson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Taylor Wilson was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 19, 2020

10601 CHURCH ST 105, RANCHO CUCAMONGA, CA 91730(909) 989-7100(909) 989-6333 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Taylor Kettle Wilson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYLOR KETTLE WILSON PA-C (NPI 1710573134) is an individual student in an organized health care education/training program in Rancho Cucamonga, California and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1710573134

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameTAYLOR KETTLE WILSONCredential: PA-C

Location Address10601 CHURCH ST 105Rancho Cucamonga, CA 91730

Mailing Address10601 Church St 105Rancho Cucamonga, CA 91730 · (909) 989-7100 · Fax (909) 989-6333

Phone(909) 989-7100

Fax(909) 989-6333

Sole ProprietorYes

Enumeration DateDecember 19, 2020

Last NPPES UpdateOctober 31, 2024

NPPES CertifiedDecember 19, 2020

✔ NPI 1710573134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

10601 CHURCH ST 105, Rancho Cucamonga, CA 91730

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Other Names 1

Former Name (1)Taylor Alexandra Kettle

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Wilson's NPI number?

The NPI number for Taylor Wilson is 1710573134. It was assigned to this individual provider in the NPPES registry on December 19, 2020. The provider is also known as Taylor Alexandra Kettle.

Where is Taylor Wilson located?

Taylor Wilson practices at 10601 Church St 105, Rancho Cucamonga, CA 91730. The listed phone number is (909) 989-7100.

What is Taylor Wilson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Taylor Wilson was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.