Individual
DR. TYLER JAMES KENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 PEACHTREE RD NE STE 645, ATLANTA, GA 30309-1476
(404) 605-2050
Mailing address
47 NEW SCOTLAND AVE, MC-10, ALBANY, NY 12208-3412
(518) 262-5088
(518) 262-5400
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
084087
GA
207T00000X
Neurological Surgery Physician
MD442141
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2008
Last updated
04/10/2020
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