| Taylor Regional Pediatrics | |
|
125 Kingswood Dr Campbellsville KY 42718-9634 | |
| (270) 789-1112 | |
| Not Available |
| Full Name | Taylor Regional Pediatrics |
|---|---|
| Speciality | Pediatrics |
| Location | 125 Kingswood Dr, Campbellsville, Kentucky |
| Authorized Official Name and Position | Debra Ann Waldron (COORDINATOR) |
| Authorized Official Contact | 2704653561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Regional Pediatrics 1698 Old Lebanon Rd Campbellsville KY 42718-9662 Ph: (270) 789-6087 | Taylor Regional Pediatrics 125 Kingswood Dr Campbellsville KY 42718-9634 Ph: (270) 789-1112 |
| NPI Number | 1649720699 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 05/10/2024 |
| Certification Date | 05/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649720699 | NPI | - | NPPES |
| 7100450940 | Medicaid | KY | |
| 7100450550 | Medicaid | KY |
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