Individual
TYLER JON GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 FLOSSIE DR, GREENDALE, IN 47025-8424
(859) 301-2663
(859) 817-7848
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 817-7848
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01096563A
IN
207X00000X
Orthopaedic Surgery Physician
35.154674
OH
207X00000X
Orthopaedic Surgery Physician
60953
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2019
Last updated
02/11/2026
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