Search › Kentucky › 207XS0106X
Taylor Shackleford
NPI 1740784768 · on the registry since 2018
Practice
- Address
- 2195 Harrodsburg Rd 2nd Fl
Lexington, KY 40504 - Phone
- (859) 323-4263
Additional practice sites
- 1 Medical Center Dr, Morgantown, WV
Registry record
- Primary taxonomy
- 207XS0106X
207XS0106X
- Also registered as
- 207X00000X
390200000X - Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-02-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky