Dawn C Taylor PLLC

Organization Active NPI Family Medicine Physician · Springfield, KY

NPI 1699095448 · NPPES record last updated Oct 16, 2015

Key facts

NPI
1699095448
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
31359 (KY)
Legal business name
DAWN C TAYLOR PLLC
Practice address
445 Lincoln Dr
Springfield, KY 40069-1578
Phone
(859) 336-7731
Fax
(859) 336-7715
NPI assigned
Jun 3, 2010
Organization subpart
No

Authorized official

Name
Dawn C Taylor, MD
Title
Owner
Phone
(859) 336-7731

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20101116001064 KY Part B Supplier - Clinic/Group Practice 5294920286 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, KY

National Provider Directory

Locations

445 Lincoln Dr
Springfield, KY 40069
Phone (270) 692-9559

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207Q00000X 31359 KY Yes
Medical Physician Assistant
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
363AM0700X PA513 KY

Addresses

Primary practice location

445 Lincoln Dr
Springfield, KY 40069-1578

Mailing address

445 Lincoln Dr
Springfield, KY 40069-1578
Phone (859) 336-7731

Other providers in Springfield, KY

All providers in Springfield, KY · Family Medicine Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.