Individual
TYRONE L DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8019 DIXIE HWY STE 101, LOUISVILLE, KY 40258-1303
(502) 333-3121
(502) 531-9538
Mailing address
8019 DIXIE HWY STE 101, LOUISVILLE, KY 40258-1303
(502) 333-3121
(502) 531-9538
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
14818
WV
207RC0000X
Cardiovascular Disease Physician
Primary
32841
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070798000
—
WV
05
—
64328412
—
KY
01
—
P00837112
MEDICARE RAILROAD
—
Enumeration date
05/20/2006
Last updated
09/11/2023
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