Individual
TANIKA R TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4010 DUPONT CIR, SUITE L-07, LOUISVILLE, KY 40207-4812
(502) 895-6559
(502) 895-8994
Mailing address
4010 DUPONT CIR, SUITE L-07, LOUISVILLE, KY 40207-4812
(502) 895-6559
(502) 895-8994
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
41813
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000574746
ANTHEM BCBS
KY
05
—
7100050820
—
KY
Enumeration date
07/28/2008
Last updated
12/28/2016
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