Individual
RANDY ALLEN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
200 UPPER KANAWHA VALLEY WAY, CABIN CREEK, WV 25035
(681) 265-5090
Mailing address
200 UPPER KANAWHA VALLEY WAY, CABIN CREEK, WV 25035
(681) 265-5090
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
25-9143SUD
WV
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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