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Individual

DR. AUSTIN BLAKE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501-2624
(606) 430-2209
(606) 218-7509
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 430-2209
(606) 218-7509

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0102205806
VA
207W00000X
Ophthalmology Physician
Primary
04355
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0102205806
VIRGINIA DEPARTMENT OF HEALTH
VA
Enumeration date
07/16/2014
Last updated
05/23/2024
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