Organization
TAYLOR REGIONAL MEDICAL GROUP,LLC
Active
Other names
Central Kentucky Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA ANN WALDRON (COORDINATOR)
(270) 465-3561
Entity
Organization
Contact information
Practice address
1858 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9663
(270) 465-0632
(270) 465-0539
Mailing address
1698 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-3319
(270) 789-6087
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
2251E1300X
Clinical Electrophysiology Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100775790
—
KY
05
—
7100804850
—
KY
Enumeration date
09/08/2021
Last updated
05/27/2025
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