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TAYLOR REGIONAL MEDICAL GROUPLLC NPI 1225707748


NPI Information

NPI: 1225707748
Provider Name: TAYLOR REGIONAL MEDICAL GROUP,LLC

Doing Business As: CENTRAL KENTUCKY MEDICAL SERVICES

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1858 OLD LEBANON RD
CAMPBELLSVILLE, KY
ZIP 42718
Phone: (270) 789-6087
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TAYLOR REGIONAL MEDICAL GROUP,LLC is a podiatrist in Campbellsville, KY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. TAYLOR REGIONAL MEDICAL GROUP,LLC NPI is 1225707748. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Central Kentucky Medical Services.

The provider's business location address is:

1858 OLD LEBANON RD
CAMPBELLSVILLE, KY
ZIP 42718-663
Phone: (270) 789-6087

The provider's authorized official is Debra Ann Waldron .
The authorized official title is Coordinator and has the following contact phone number (270) 465-3561.

The enumeration date for this NPI number is 9/8/2021 and was last updated on 11/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251E1300XPhysical TherapistElectrophysiology, ClinicalNo
2213E00000XPodiatristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100775790MEDICAIDKENTUCKY
27100804850MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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