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TAYLOR REGIONAL MEDICAL GROUPLLC NPI 1740432053


NPI Information

NPI: 1740432053
Provider Name: TAYLOR REGIONAL MEDICAL GROUP,LLC

Doing Business As: TAYLOR REGIONAL UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 18D0946399

Address:
1698 OLD LEBANON RD
SUITE 3B
CAMPBELLSVILLE, KY
ZIP 42718
Phone: (270) 789-2445
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TAYLOR REGIONAL MEDICAL GROUP,LLC is an urology in Campbellsville, KY. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. TAYLOR REGIONAL MEDICAL GROUP,LLC NPI is 1740432053. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Taylor Regional Urology.

The provider's business location address is:

1698 OLD LEBANON RD
SUITE 3B
CAMPBELLSVILLE, KY
ZIP 42718
Phone: (270) 789-2445

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

The CLIA number assigned to this NPI record is 18D0946399 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2008 and was last updated on 4/5/2024.


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
1208800000XUrologyYes
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4363LA2200XNurse PractitionerAdult HealthNo
5363LF0000XNurse PractitionerFamilyNo

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
17100598820MEDICAIDKENTUCKY
27100079630MEDICAIDKENTUCKY
37100071450MEDICAIDKENTUCKY

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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