Individual
TYLER BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
238 N SECOND ST STE 2, RICHMOND, KY 40475-1484
(859) 328-2473
(859) 545-4701
Mailing address
238 N SECOND ST STE 2, RICHMOND, KY 40475-1484
(859) 328-2473
(859) 545-4701
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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