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Organization
TAYLOR REGIONAL MEDICAL GROUP,LLC
Active
Organization
TAYLOR REGIONAL MEDICAL GROUP,LLC
Active
Other names
Central Kentucky Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA ANN WALDRON (COORDINATOR)
(270) 465-3561
Entity
Organization
Contact information
Practice address
1858 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9663
(270) 465-0632
(270) 465-0539
Mailing address
1698 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-3319
(270) 789-6087
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
2251E1300X
Clinical Electrophysiology Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100775790
—
KY
05
—
7100804850
—
KY
Enumeration date
09/08/2021
Last updated
05/27/2025
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