Individual
MR. TYLER LYNN RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501-1689
(606) 430-3500
(606) 437-1033
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 430-3500
(606) 437-1033
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0000207203
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
3017353
KY
Other
Enumeration date
09/28/2020
Last updated
10/06/2022
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