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Organization

TAYLOR REGIONAL MEDICAL GROUP

Active
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Organization

TAYLOR REGIONAL MEDICAL GROUP

Active
Other names
TAYLOR REGIONAL ONCOLOGY, TAYLOR REGIONAL ONCOLOGY-RADIATION
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA WALDRON (COORDINATOR)
(270) 465-3561
Entity
Organization

Contact information

Practice address
125 GREENBRIAR DR, CAMPBELLSVILLE, KY 42718-9616
(270) 789-6166
(270) 789-6198
Mailing address
1698 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9662
(270) 789-6087

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
KY
2085R0001X
Radiation Oncology Physician
363LF0000X
Family Nurse Practitioner
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100013050
KY
05
7100477040
KY
Enumeration date
11/16/2007
Last updated
07/23/2025
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