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Contact Information

KELLEY L TAYLOR, MD
225B WINTON M BLOUNT LOOP
MONTGOMERY, AL36117-3507
 Phone: 334-623-6228
 Fax: 334-265-9136
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for KELLEY L TAYLOR · (Female)

NPI # 1124241336
Status Active
Credentials MD
Entity Individual
Enumeration date 04/10/2007
Last updated 09/12/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 42108
  • AL Medicaid 009801160
  • GA Medicaid 00789049A
  • LA Medicaid 1540854
  • LA Medicaid 3790378800
  • MS Medicaid 00119533
  • TN Medicaid 3403473
Hospital affiliation(s)
  • DALE MEDICAL CENTER - (Acute Care)
    126 HOSPITAL AVE
    OZARK, AL 36360
  • EAST ALABAMA MEDICAL CENTER AND SNF - (Acute Care)
    2000 PEPPERELL PARKWAY
    OPELIKA, AL 36801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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