Individual
KELLY M TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 MEDICAL CENTER DR, SUITE 308, SPRINGFIELD, MA 01107-1270
(413) 794-7020
(413) 794-2670
Mailing address
280 CHESTNUT ST, 2ND FL, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
232267
MA
208C00000X
Colon & Rectal Surgery Physician
Primary
232267
MA
Other
Enumeration date
06/22/2007
Last updated
11/14/2016
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