Individual
TYLER KEENUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2703 7TH ST, TUSCALOOSA, AL 35401-1865
(205) 759-8470
(205) 366-9001
Mailing address
2703 7TH ST, TUSCALOOSA, AL 35401-1865
(205) 759-8470
(205) 366-9001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-142399
AL
Other
Enumeration date
05/29/2017
Last updated
01/07/2026
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