Individual
THOMAS KENT TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
905 MEDICAL CENTER PKWY, SELMA, AL 36701-6746
(334) 874-6053
(334) 418-0726
Mailing address
1023 MEDICAL CENTER PKWY STE 305, SELMA, AL 36701-7738
(334) 418-4113
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
9217
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051006131
BLUE CROSS PROVIDER #
AL
01
—
051075573
BCBS OF ALABAMA
AL
01
—
051517691
BCBS OF ALABAMA
AL
01
—
406393129
MEDICARE RAILROAD PROV #
AL
05
—
TA000006131
—
AL
05
—
TA000075573
—
AL
05
—
TA009931425
—
AL
Enumeration date
02/17/2006
Last updated
02/02/2024
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