Individual
VALERIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4000
(859) 258-4796
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4000
(859) 258-4796
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
29039
KY
207ZD0900X
Dermatopathology (Pathology) Physician
29039
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
29039
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220015942
RR MEDICARE PIN
—
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
64290398
—
KY
01
—
CB5773
RR MEDICARE GROUP
—
Enumeration date
08/03/2006
Last updated
02/25/2019
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