Provider Demographics
NPI:1033262639
Name:TAYLOR, VIRGINIA K (ARNP)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:K
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3517 GREENTREE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-3117
Mailing Address - Country:US
Mailing Address - Phone:859-245-6444
Mailing Address - Fax:
Practice Address - Street 1:360 W LOUDON AVE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508-3729
Practice Address - Country:US
Practice Address - Phone:859-252-7881
Practice Address - Fax:859-255-0749
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4361P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily