Individual
DR. KEITH F. TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1010 EICHELBERGER ST, SUITE 4, HANOVER, PA 17331-1374
(717) 757-3537
(717) 718-9701
Mailing address
2300 PLEASANT VALLEY RD, YORK, PA 17402-9627
(717) 757-3537
(717) 718-9701
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC005821
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC005821
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021748160001
—
PA
01
—
50053764
CAPITAL BLUE CROSS
PA
Enumeration date
01/16/2006
Last updated
06/10/2025
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