Organization
TAYLOR REGIONAL MEDICAL GROUP LLC
Active
Other names
Taylor Regional School Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL EVERETT (CEO)
(270) 465-3561
Entity
Organization
Contact information
Practice address
219 MEADER ST, CAMPBELLSVILLE, KY 42718-2639
(270) 789-6112
Mailing address
67 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718-9647
(270) 789-6087
(270) 789-6119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100760910
—
KY
05
—
7100773060
—
KY
Enumeration date
04/13/2021
Last updated
05/23/2025
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