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Individual

DR. KENT EDWARD TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1140 LEXINGTON RD, SUITE 202, GEORGETOWN, KY 40324-9330
(502) 868-1100
(502) 868-5612
Mailing address
1140 LEXINGTON RD, SUITE 202, GEORGETOWN, KY 40324-9330
(502) 868-1100
(502) 868-5612

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
45430
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102I117251
MEDICARE
AL
05
174934
AL
05
175567
AL
01
511-64888
BCBS OF AL
AL
01
511-64894
BCBS OF AL
AL
01
511-64895
BCBSOF AL
AL
05
7100219510
KY
01
K144250
MEDICARE
KY
Enumeration date
05/13/2009
Last updated
02/13/2018
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