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Contact Information

JEFFERY M TAYLOR, MD
4630 VILLAGE SQUARE DR
PADUCAH, KY42001-7502
 Phone: 270-442-1671
 Fax: 270-442-7307
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JEFFERY M TAYLOR · (Male)

NPI Number 1356318547
Status Active
Credentials MD
Entity Individual
Enumeration date 03/07/2006
Last updated 11/14/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 39545
  • KY Medicaid 64103385
  • KY Medicaid 7100053130
  • Other 000000372438 ANTHEM BCBS
  • Other P00226010 RAILROAD MEDICARE
  • Other 610706763 TRICARE
Hospital affiliation(s)
  • LOURDES HOSPITAL - (Acute Care)
    1530 LONE OAK ROAD
    PADUCAH, KY 42003
  • WESTERN BAPTIST HOSPITAL - (Acute Care)
    2501 KENTUCKY AVENUE
    PADUCAH, KY 42003
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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