Provider Demographics
NPI:1801044532
Name:TAYLOR, ALLYSON FAYE (MA)
Entity Type:Individual
Prefix:MRS
First Name:ALLYSON
Middle Name:FAYE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3617 PARK POINTE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1858
Mailing Address - Country:US
Mailing Address - Phone:859-523-9583
Mailing Address - Fax:
Practice Address - Street 1:3617 PARK POINTE DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1858
Practice Address - Country:US
Practice Address - Phone:859-523-9583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-06
Last Update Date:2008-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist