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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