Individual
KENNETH TYRE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
272 HOSPITAL RD, CHILLICOTHE, OH 45601-9031
(513) 672-4128
(513) 672-4479
Mailing address
200 NORTHLAND BLVD FL 1, CINCINNATI, OH 45246-3604
(513) 672-4128
(513) 672-4479
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA08721
OH
367500000X
Certified Registered Nurse Anesthetist
RN156286
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2641510
—
OH
Enumeration date
09/20/2006
Last updated
01/29/2024
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