Individual
DR. TYLER PAUL KEARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
3312 LONGMIRE DR, COLLEGE STATION, TX 77845-5812
(979) 776-6060
(979) 776-6172
Mailing address
3312 LONGMIRE DR, COLLEGE STATION, TX 77845-5812
(979) 776-6060
(979) 776-6172
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1979
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
T33-2008
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080873501
—
TX
01
—
P01002151
RAIL ROAD MEDICARE
TX
Enumeration date
12/12/2008
Last updated
03/07/2025
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