Provider Demographics
NPI:1881479822
Name:TAYLOR, RONNIE LEE II
Entity type:Individual
Prefix:MR
First Name:RONNIE
Middle Name:LEE
Last Name:TAYLOR
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2165 RANGOON CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-2011
Mailing Address - Country:US
Mailing Address - Phone:513-999-3317
Mailing Address - Fax:
Practice Address - Street 1:710 NORTHLAND BLVD APT D
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-3152
Practice Address - Country:US
Practice Address - Phone:513-514-7879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker