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Organization
TAYLOR REGIONAL MEDICAL GROUP
Active
Organization
TAYLOR REGIONAL MEDICAL GROUP
Active
Other names
Taylor Regional Hospitalist
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA WALDRON (COORDINATOR)
(270) 465-3561
Entity
Organization
Contact information
Practice address
1700 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9615
(270) 789-6082
(270) 789-6080
Mailing address
1698 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9662
(270) 789-6082
(270) 789-6080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100004130
—
KY
01
—
7100079630
MEDICAID NURSE PRACTIONER GROUP
—
05
—
7100152850
—
KY
Enumeration date
10/21/2008
Last updated
08/15/2025
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