Organization
TAYLOR REGIONAL MEDICAL GROUP LLC
Active
Organization
TAYLOR REGIONAL MEDICAL GROUP LLC
Active
Other names
TAYLOR REGIONAL HOSPITAL HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA WALDRON (CREDENTIALING AGENT)
(270) 465-3561
Entity
Organization
Contact information
Practice address
73 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718-9604
(270) 849-2379
(270) 465-2126
Mailing address
1698 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-3319
(270) 789-6087
(270) 789-6119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/05/2024
Last updated
09/03/2025
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