Organization
TAYLOR REGIONAL MEDICAL GROUP
Active
Other names
Taylor Regional Hospitalist
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA WALDRON (COORDINATOR)
(270) 465-3561
Entity
Organization
Contact information
Practice address
1700 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9615
(270) 789-6082
(270) 789-6080
Mailing address
1698 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9662
(270) 789-6082
(270) 789-6080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100004130
—
KY
01
—
7100079630
MEDICAID NURSE PRACTIONER GROUP
—
05
—
7100152850
—
KY
Enumeration date
10/21/2008
Last updated
08/15/2025
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