Individual
TYLER KOESTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-2104
(859) 323-6013
Mailing address
911 HILLSBORO RD, FRANKLIN, TN 37064-2015
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
53846
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2014
Last updated
06/17/2020
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