Individual
TYLER J KEMMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8300 W 38TH AVE, WHEAT RIDGE, CO 80033-6005
(303) 467-8903
(303) 467-8921
Mailing address
500 ELDORADO BLVD, SUITE 6250, BROOMFIELD, CO 80021-3408
(303) 272-0750
(303) 318-2488
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
48720
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83178279
—
CO
Enumeration date
07/20/2007
Last updated
12/31/2013
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