Individual
MS. KELLEY L TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225B WINTON M BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 623-6228
(334) 265-9136
Mailing address
225B WINTON M BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 623-6228
(334) 265-9136
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
42108
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
42108
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119533
—
MS
05
—
00789049A
—
GA
05
—
009801160
—
AL
05
—
1540854
—
LA
05
—
3403473
—
TN
05
—
3790378800
—
LA
Enumeration date
04/10/2007
Last updated
09/12/2012
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