# TAYLOR REGIONAL MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Taylor Regional Hospital Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699030031
- **Authorized official:** DEBRA ANN WALDRON (COORDINATOR)
- **Authorized official phone:** (270) 465-3561

## Contact information

- **Practice address:** 67 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718-9647
- **Practice address phone:** (270) 849-2379
- **Mailing address:** 67 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718-9647
- **Mailing address phone:** (270) 849-2379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/11/2012
- **Last updated:** 03/31/2025