Individual
DR. TOMMY DWAYNE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
307 W MADISON ST, LOUISA, KY 41230-1361
(606) 638-9898
(606) 638-0748
Mailing address
307 W MADISON ST, LOUISA, KY 41230-1361
(606) 638-9898
(606) 638-0748
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4428
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042934
BLUE CROSS BLUE SHIELD
—
05
—
0510000000
—
WV
01
—
5821703
AETNA
—
05
—
85000099
—
KY
Enumeration date
06/28/2006
Last updated
06/07/2013
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