Individual
DR. TYLER D SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
29 CANARY LN, WINCHESTER, KY 40391
(859) 744-7319
(859) 744-7319
Mailing address
29 CANARY LN, WINCHESTER, KY 40391-1645
(859) 744-7319
(859) 744-7319
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
249094
KY
111N00000X
Chiropractor
5457
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
861128239
—
KY
Enumeration date
03/25/2015
Last updated
05/10/2021
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