Individual
TYLER SMITH MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6200 DUTCHMANS LN, LOUISVILLE, KY 40205-3271
(502) 456-6200
(502) 456-6655
Mailing address
6200 DUTCHMANS LN, LOUISVILLE, KY 40205-3271
(502) 456-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01085727A
IN
207R00000X
Internal Medicine Physician
Primary
55018
KY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
01085727A
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
55018
KY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
01085727A
IN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
55018
KY
Other
Enumeration date
05/12/2015
Last updated
02/02/2026
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