Individual
DR. KEVIN RICHARD DORSEY-TYLER
Active
Individual
DR. KEVIN RICHARD DORSEY-TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
C50630
CA
208C00000X
Colon & Rectal Surgery Physician
Primary
C50630
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C506300
—
CA
Enumeration date
09/21/2006
Last updated
09/10/2011
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