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Individual

DR. SHAWN M. TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
230 FOUNTAIN CT, SUITE 260, LEXINGTON, KY 40509-1888
(859) 264-0660
(859) 264-0662
Mailing address
230 FOUNTAIN CT, SUITE 260, LEXINGTON, KY 40509-1888
(859) 264-0660
(859) 264-0662

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24656
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000392675
ANTHEM
KY
05
64246564
KY
Enumeration date
03/24/2006
Last updated
05/21/2008
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