Taylor-Tidwell, Gena Gail

Taylor-Tidwell, Gena Gail is an individual health care provider with primary practice located at 1525 Cuba Rd , Mayfield KY 42066-6809. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Taylor-Tidwell, Gena Gail can be contacted via phone (270) 247-2588.

Contact Information

Primary practice address
1525 Cuba Rd Mayfield KY 42066-6809
Phone: (270) 247-2588
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 291481 Kentucky

Profile Details

NPI number 1114527538
LBN Legal business name Taylor-Tidwell, Gena Gail
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2020
Last updated May 31st, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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