Organization · Type 2 NPI

Taylor Regional Medical Group

Hematology & Oncology Physician · Campbellsville, KY

NPI number 1205017464 Active

Practice location

125 Greenbriar Dr
Campbellsville, KY 42718-9616

Call (270) 789-6166 Map

Fax (270) 789-6198

Mailing address

1698 Old Lebanon Rd
Campbellsville, KY 42718-9662

Other practice locations

236 Greenbriar Dr, Campbellsville, KY 42718-9624 · (207) 789-6166

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	None listed
Radiation Oncology Physician	2085R0001X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

6 other providers at this address

NPI record

NPI: 1205017464
Entity type: Organization (Type 2)
Issued: Nov 16, 2007
Last updated: Jul 23, 2025
Status: Active

Other names

<unavail>
Taylor Regional Oncology · doing business as
Taylor Regional Oncology-Radiation · doing business as

Authorized official

Debra Waldron
Coordinator
(270) 465-3561

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205017464

Taylor Regional Medical Group's National Provider Identifier is 1205017464, issued on Nov 16, 2007. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Campbellsville, KY. The record was last updated on Jul 23, 2025.