Individual
DR. TYLER J. STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 N HUSER ST, SYRACUSE, KS 67878-7700
(620) 384-7461
(620) 384-5500
Mailing address
700 N HUSER ST, SYRACUSE, KS 67878-7700
(620) 384-7461
(620) 384-5500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0441882
KS
207Q00000X
Family Medicine Physician
Primary
0441882
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470553011-00
—
NE
Enumeration date
07/03/2017
Last updated
02/09/2026
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