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Dr. Terry Whitmer Tyler

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NPI Number Detailed Information

Provider Information:

Name: Dr. Terry Whitmer Tyler
Gender: M
Provider License Number If Given: 17554

NPI Information:

NPI: 1952300493
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 7/6/2008

Provider Business Mailing Address:

Address: 2200 E PARRISH AVE BUILDING D
Owensboro, KY 42303
Phone Number: 2709268171
Fax Number: 2709264574

Provider Business Practice Location Address:

Address: 2200 E PARRISH AVE BUILDING D
Owensboro, KY 42303
Phone Number: 2709268171
Fax Number: 2709264574

Provider Taxonomy:

Primary: 2085R0202X
Secondary (if any):
State: KY

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