Dawn C Taylor Pllc | |
445 Lincoln Dr Springfield KY 40069-1578 | |
(859) 336-7731 | |
(859) 336-7715 |
Full Name | Dawn C Taylor Pllc |
---|---|
Speciality | Family Medicine |
Location | 445 Lincoln Dr, Springfield, Kentucky |
Authorized Official Name and Position | Dawn C Taylor (OWNER) |
Authorized Official Contact | 8593367731 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dawn C Taylor Pllc 445 Lincoln Dr Springfield KY 40069-1578 Ph: (859) 336-7731 | Dawn C Taylor Pllc 445 Lincoln Dr Springfield KY 40069-1578 Ph: (859) 336-7731 |
NPI Number | 1699095448 |
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Provider Enumeration Date | 06/03/2010 |
Last Update Date | 10/16/2015 |
Medicare PECOS PAC ID | 5294920286 |
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Medicare Enrollment ID | O20101116001064 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699095448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 31359 (Kentucky) | Primary |
363AM0700X | Physician Assistant - Medical | PA513 (Kentucky) | Secondary |
Provider Name | Dawn C Taylor |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023115730 PECOS PAC ID: 9830239649 Enrollment ID: I20091229000332 |
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