Organization
TAYLOR REGIONAL MEDICAL GROUP,LLC
Active
Other names
TAYLOR REGIONAL WOMEN FOR WOMEN
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA A WALDRON (OFFICE COORDINATOR)
(270) 465-3561
Entity
Organization
Contact information
Practice address
105 GREENBRIAR DR STE B, CAMPBELLSVILLE, KY 42718-9617
(270) 465-3568
Mailing address
1698 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-3319
(270) 789-6087
(270) 789-6119
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100011140
—
KY
05
—
7100476380
—
KY
Enumeration date
11/17/2006
Last updated
05/27/2025
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