Organization
TAYLOR REGIONAL MEDICAL GROUP
Active
Organization
TAYLOR REGIONAL MEDICAL GROUP
Active
Other names
Llewelyn Hortillosa M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MASSENGALE (CFO)
(270) 465-3561
Entity
Organization
Contact information
Practice address
1700 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9615
(270) 465-3561
(270) 789-5805
Mailing address
1700 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9615
(270) 465-3561
(270) 789-5805
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
KY
Other
Enumeration date
05/04/2006
Last updated
12/29/2010
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