Organization · Type 2 NPI

Taylor Regional Medical Group, LLC

Pediatrics Physician · Campbellsville, KY

NPI number 1649720699 Active

Practice location

125 Kingswood Dr
Campbellsville, KY 42718-9634

Call (270) 789-1112 Map

Fax (270) 789-6176

Mailing address

1698 Old Lebanon Rd
Campbellsville, KY 42718-9662

Specialties and licenses

Taxonomy	Code	License
Professional Counselor	101YP2500X	None listed
Pediatrics Physician Primary	208000000X	None listed
Rural Health Clinic/Center	261QR1300X	None listed
Physician Assistant	363A00000X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

5 other providers at this address

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NPI record

NPI: 1649720699
Entity type: Organization (Type 2)
Issued: Oct 13, 2016
Last updated: Jul 8, 2025
Status: Active

Other names

<unavail>
Taylor Regional Pediatrics · doing business as
Taylor Regional Pediatrics · doing business as

Authorized official

Debra Ann 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 1649720699

Taylor Regional Medical Group, LLC's National Provider Identifier is 1649720699, issued on Oct 13, 2016. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Campbellsville, KY. The record was last updated on Jul 8, 2025.