Holley, Tyler B.
Holley, Tyler B. is an individual health care provider with primary practice located at 4371 New Shepherdsville Rd Unit 100 , Bardstown KY 40004-8040. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Holley, Tyler B. can be contacted via phone (502) 350-5492.Contact Information
Primary practice address
4371 New Shepherdsville Rd Unit 100
Bardstown KY 40004-8040
Phone: (502) 350-5492
Fax: (502) 350-5822
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 53693 | Kentucky |
Profile Details
NPI number | 1992184030 |
---|---|
LBN Legal business name | Holley, Tyler B. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 21st, 2015 |
Last updated | Jun 15th, 2020 - about 5 years 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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