Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 45430 | KY |
NPI | 1013141431 |
---|---|
Provider Name | Dr. Kent Edward Taylor |
First Address | Georgetown, KY 40324-9330 |
Second Address | Georgetown, KY 40324-9330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2009 |
Last Update Date | 13/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102I117251 | MEDICARE (01) | AL |
174934 | (05) | AL |
175567 | (05) | AL |
511-64888 | BCBS OF AL (01) | AL |
511-64894 | BCBS OF AL (01) | AL |
511-64895 | BCBSOF AL (01) | AL |
7100219510 | (05) | KY |
K144250 | MEDICARE (01) | KY |