Provider Demographics
NPI:1528329364
Name:BERTSCHY, TAYLOR LYNN (DO)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:LYNN
Last Name:BERTSCHY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:
Other - Last Name:BERTSCHY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 667
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67201-0667
Mailing Address - Country:US
Mailing Address - Phone:316-685-1206
Mailing Address - Fax:316-688-5208
Practice Address - Street 1:550 N HILLSIDE ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-4976
Practice Address - Country:US
Practice Address - Phone:316-962-2000
Practice Address - Fax:316-688-5208
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS19561207V00000X
KS9407817207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology