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Individual

DR. TYLER RAY RIEDL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
306 W SANTA FE TRAIL BLVD, LAKIN, KS 67860-9454
(620) 355-4116
(620) 355-4117
Mailing address
306 W SANTA FE TRAIL BLVD, PO BOX 213, LAKIN, KS 67860-9454
(620) 355-4116
(620) 355-4117

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05387
KS

Other

Enumeration date
01/26/2009
Last updated
01/04/2013
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