Keller, Tyler James

Keller, Tyler James is an individual health care provider with primary practice located at 6641 Dixie Hwy , Louisville KY 40258-3909. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Keller, Tyler James can be contacted via phone (502) 364-0902.

Contact Information

Primary practice address
6641 Dixie Hwy Louisville KY 40258-3909
Phone: (502) 364-0902
Fax: (502) 364-0099
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 51057 Kentucky
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 51057 Kentucky

Profile Details

NPI number 1669738506
LBN Legal business name Keller, Tyler James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2012
Last updated Aug 19th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669738506 NPPES
Kentucky MEDICAID 7100546170

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