Individual
TYLER KIRK KILPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1068 CRESTHAVEN RD STE 150, MEMPHIS, TN 38119-3859
(901) 682-6828
Mailing address
454 LYTLE ST, MEMPHIS, TN 38122-4608
(901) 490-0733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
131408
TN
Other
Enumeration date
04/21/2020
Last updated
06/10/2020
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