# TAYLOR REGIONAL MEDICAL GROUP,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TAYLOR REGIONAL WOMEN FOR WOMEN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174697601
- **Authorized official:** MRS. DEBRA A WALDRON (OFFICE COORDINATOR)
- **Authorized official phone:** (270) 465-3561

## Contact information

- **Practice address:** 105 GREENBRIAR DR STE B, CAMPBELLSVILLE, KY 42718-9617
- **Practice address phone:** (270) 465-3568
- **Mailing address:** 1698 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-3319
- **Mailing address phone:** (270) 789-6087
- **Mailing address fax:** (270) 789-6119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | NULL | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | — | — |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 06/10/2026