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NPI Code Detail

MEDICARE: TAYLOR DIAMOND

MEDICARE: TAYLOR DIAMOND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist308440KY

General Provider Information

NPI Number : 1427987908
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR DIAMOND
Provider Business Mailing Address
First Line : 109 WIND HAVEN DR STE 100
Second Line :
City : NICHOLASVILLE
State : KY
Zip : 40356-8010
Country : US
Telephone Number : 859-224-2273
Fax Number : 859-224-4675
Provider Business Practice Location Address
First Line : 117 E JEFFERSON ST
Second Line :
City : GEORGETOWN
State : KY
Zip : 40324-1764
Country : US
Telephone Number : 859-224-2273
Fax Number : 859-224-4675
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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Directions to “ TAYLOR DIAMOND ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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