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Individual

TYLER HALVAKSZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1720 NICHOLASVILLE RD, STE. 702, LEXINGTON, KY 40503-1404
(859) 264-8811
(859) 264-8822
Mailing address
1720 NICHOLASVILLE RD, STE. 702, LEXINGTON, KY 40503-1404
(859) 264-8811
(859) 264-8822

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
3008474
KY
367A00000X
Advanced Practice Midwife
Primary
3008474
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100281300
KY
Enumeration date
01/23/2014
Last updated
05/22/2014
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