Individual
BEN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 575-2244
(270) 415-7130
Mailing address
PO BOX 8317, PADUCAH, KY 42002-8317
(270) 575-2244
(270) 415-7130
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
16851
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64168511
—
KY
01
—
P00159386
MEDICARE RAILROAD
KY
Enumeration date
01/10/2006
Last updated
08/18/2015
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