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Individual

DR. LARRY EDWARD TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1705 FOREST DR, CORBIN, KY 40701-2354
(606) 528-9772
(606) 528-9242
Mailing address
1705 FOREST DR, CORBIN, KY 40701-2354
(606) 528-9772
(606) 528-9242

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23230
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000340508
BCBS/WOMENS WELLNESS CTR
KY
01
1398060
MAILHANDLERS
KY
05
64232309
KY
01
C07214
CHI
KS
01
P00163198
RAILROAD MEDICARE
KY
Enumeration date
07/12/2006
Last updated
02/19/2008
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