| Organization Name: | TAYLOR COUNTY FAMILY PRACTICE PSC |
| NPI Number: | 1013035419 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORA SZTENDERA (PRESIDENT) |
| Mailing Address: | 407 E 1st St Campbellsville |
| State: | KY US |
| Postal Code: | 427181837 |
| Phone Number: | 2704654841 |
| Fax Number: | 2704650120 |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 11/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 26865 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |