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Individual

DR. TYLER ALAN PLOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1873 E SYCAMORE ST, KOKOMO, IN 46901-5200
(765) 450-9153
Mailing address
19449 ETHAN ALLEN LN, WESTFIELD, IN 46074-9252
(765) 419-1101

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08003326A
IN
111N00000X
Chiropractor
2020014160
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08003326A
INDIANA CHIROPRACTIC LICENSE
IN
Enumeration date
05/28/2020
Last updated
09/07/2022
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