Individual
TYLER J. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
225 CROSSLAKE DR, EVANSVILLE, IN 47715-8198
(812) 477-1558
Mailing address
225 CROSSLAKE DR., EVANSVILLE, IN 47715-7607
(812) 477-1558
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
41000290A
IN
Other
Enumeration date
06/30/2013
Last updated
12/18/2017
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