Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 20551 | KY |
N | 207RP1001X | Pulmonary Disease | 20551 | KY |
NPI | 1295832913 |
---|---|
Provider Name | Frank H Taylor |
First Address | Madisonville, KY 42431-1661 |
Second Address | Madisonville, KY 42431-1661 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2006 |
Last Update Date | 23/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000044317 | BCBS PROVIDER NUMBER (01) | |
20551 | LICENSE (01) | KY |
64205511 | (05) | KY |
C64342 | (02) |