Individual
BRADLEY SHANE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-C
Contact information
Practice address
5925 OLD HWY 60 WEST, SUITE D, PADUCAH, KY 42001
(270) 228-0118
(270) 228-0120
Mailing address
5925 OLD HWY 60, PADUCAH, KY 42001
(270) 228-0118
(270) 228-0120
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209016137
IL
363LF0000X
Family Nurse Practitioner
Primary
3011419
KY
Other
Enumeration date
06/29/2017
Last updated
07/24/2025
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