Taylor, Kelley L

Taylor, Kelley L is an individual health care provider with primary practice located at 225B Winton M Blount Loop , Montgomery AL 36117-3507. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Taylor, Kelley L can be contacted via phone (334) 623-6228.

Contact Information

Primary practice address
225B Winton M Blount Loop Montgomery AL 36117-3507
Phone: (334) 623-6228
Fax: (334) 265-9136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 42108 Tennessee
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 42108 Tennessee

Profile Details

NPI number 1124241336
LBN Legal business name Taylor, Kelley L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Sep 12th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124241336 NPPES
Tennessee MEDICAID 3403473
Tennessee MEDICAID 00789049A
Tennessee MEDICAID 00119533
Tennessee MEDICAID 1540854
Tennessee MEDICAID 3790378800
Tennessee MEDICAID 009801160

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