Individual
JEFFERY M TAYLOR
Active
Individual
JEFFERY M TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
39545
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000372438
ANTHEM BCBS
—
01
—
610706763
TRICARE
—
05
—
64103385
—
KY
05
—
7100053130
—
KY
01
—
P00226010
RAILROAD MEDICARE
—
Enumeration date
03/07/2006
Last updated
11/14/2018
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