Individual
KYLE D TIPTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
190 N UNION ST, STE 104, AKRON, OH 44304-1369
(330) 253-9145
(330) 253-6222
Mailing address
190 N UNION ST, STE 104, AKRON, OH 44304-1369
(330) 253-9145
(330) 253-6222
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35-070474 T
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35-070474 T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000125757
ANTHEM BCBS INDV NUMBER
OH
05
—
0819332
—
OH
01
—
2080224
UNITED HEALTHCARE GROUP #
OH
01
—
340891295-00
WORKERS COMP GROUP #
OH
05
—
7091249
—
OH
01
—
729901
BUCKEYE COMMUNITY HLTH PL
OH
01
—
CN1092
RAILROAD MEDICARE GROUP #
OH
Enumeration date
04/20/2006
Last updated
09/11/2025
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