Healthcare Provider Details

I. General information

NPI: 1053480442
Provider Name (Legal Business Name): ROBERT FRANCIS TAYLOR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 11/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2343 ALEXANDRIA DR SUITE 225
LEXINGTON KY
40504-3281
US

IV. Provider business mailing address

2343 ALEXANDRIA DR SUITE 225
LEXINGTON KY
40504-3281
US

V. Phone/Fax

Practice location:
  • Phone: 859-224-2006
  • Fax: 859-224-7005
Mailing address:
  • Phone: 859-224-2006
  • Fax: 859-224-7005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number31537
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: