Mia Talley, PA-C

NPI #1225855018 in De Soto, Kansas

Provider Information

NPI Number: 1225855018
Entity Type: Individual
Name: Mia Talley, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 23, 2024
Last Updated: Oct 14, 2025

Practice Location

Address: 8960 COMMERCE DR STE 4E
City: De Soto
State: Kansas
ZIP Code: 66018-8431
Phone: (913) 789-3961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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