Organization
TAYLOR REGIONAL MEDICAL GROUP LLC
Active
Parent organization
TAYLOR COUNTY HOSPITAL DISTRICT HEALTH FACILITIES CORPORATION
Other names
Taylor Regional Pulmonology and Sleep Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAYLOR COUNTY HOSPITAL DISTRICT HEALTH FACILITIES CORPORATION
Authorized official
DEBRA ANN WALDRON (COORDINATOR)
(270) 465-3561
Entity
Organization
Contact information
Practice address
67 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718-9647
(270) 465-2116
(270) 465-2126
Mailing address
67 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718-9647
(270) 469-1400
(270) 789-5751
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100069740
—
KY
05
—
7100326410
—
KY
Enumeration date
12/11/2008
Last updated
12/19/2024
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