Individual
TYLER PLANCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 ACE DR, BEREA, KY 40403-1327
(859) 756-5006
Mailing address
1000 ACE DR, BEREA, KY 40403-1327
(859) 756-5006
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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