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Individual

TYLER NEIL KIMBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
Mailing address
3616 BOLD BIDDER DR, LEXINGTON, KY 40517-3546

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
10/11/2022
Last updated
10/11/2022
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