Organization
TAYLOR REGIONAL MEDICAL GROUP, LLC
Active
Organization
TAYLOR REGIONAL MEDICAL GROUP, LLC
Active
Other names
TAYLOR REGIONAL HOSPITAL PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLA A WYMER (CREDENTIALING COORDINATOR)
(270) 465-3561
Entity
Organization
Contact information
Practice address
125 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718-9634
(270) 789-1112
(270) 789-6176
Mailing address
1698 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-3319
(270) 789-6087
(270) 789-6119
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/10/2026
Last updated
03/12/2026
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