TAYLOR TIDWELL

LEXINGTON, KY
NPI1609564285
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3018446)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: KY  3018446)
Enumeration Date2023-05-01
Last Update Date2023-07-17
Business Address
TAYLOR TIDWELL APRN
740 S LIMESTONE STE L119
LEXINGTON, KY 40536-0007
Phone number: 859-257-3253
Mailing Address
TAYLOR TIDWELL APRN
740 S LIMESTONE STE L119
LEXINGTON, KY 40536-0001
Phone number: 859-257-3253