Healthcare Provider Details

I. General information

NPI: 1831885193
Provider Name (Legal Business Name): ADAM W TAYLOR DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 BYPASS RD
WINCHESTER KY
40391-2300
US

IV. Provider business mailing address

PO BOX 936
LONDON KY
40743-0936
US

V. Phone/Fax

Practice location:
  • Phone: 859-744-5111
  • Fax: 859-744-1177
Mailing address:
  • Phone: 606-330-7835
  • Fax: 859-744-1177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number06347
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: