| Doctor Name: | KELLY ELIZABETH TAYLOR |
| NPI Number: | 1326388430 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | RN184594 |
| Business Practice Address: | 541 Historic Hwy 441 N Demorest, GA - 305350037 |
| Business Phone Number: | 7702197078 |
| Business Fax Number: | 7702197365 |
| Mailing Address: | Po Box 658, GAINESVILLE |
| State: | GA |
| Postal Code: | 305030658 |
| Phone Number: | 7707181122 |
| Fax Number: | 7705357445 |
| NPI Enumeration Date: | 02/26/2013 |
| NPI Last Update Date: | 01/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | RN184594 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |