Organization
TAYLOR REGIONAL MEDICAL GROUP, LLC
Active
Organization
TAYLOR REGIONAL MEDICAL GROUP, LLC
Active
Other names
Taylor Regional Orthopedic Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA A WALDRON (OFFICE COORDINATOR)
(270) 465-3561
Entity
Organization
Contact information
Practice address
100 MEDICAL PARK DR STE B, CAMPBELLSVILLE, KY 42718
(270) 465-0632
(270) 465-0539
Mailing address
1698 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-3319
(270) 789-6087
(270) 789-6119
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208600000X
Surgery Physician
—
—
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100011310
—
KY
05
—
7100225920
—
KY
05
—
7100466530
—
KY
05
—
7100814730
—
KY
05
—
7100962070
—
KY
Enumeration date
07/28/2006
Last updated
12/05/2025
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