Healthcare Provider Details

I. General information

NPI: 1235525643
Provider Name (Legal Business Name): KATIE VERON TAYLOR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2015
Last Update Date: 01/05/2022
Certification Date: 01/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5246 BRITTANY DR
BATON ROUGE LA
70808-9136
US

IV. Provider business mailing address

500 HIGH LAKE DR
BATON ROUGE LA
70810-4335
US

V. Phone/Fax

Practice location:
  • Phone: 225-767-4300
  • Fax:
Mailing address:
  • Phone: 225-939-5141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberTRN27086
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberINTERN PERMIT PENDIN
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number326250
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberTRN27086
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME145217
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: