Individual
DR. SCOTT TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2160
(859) 301-3932
Mailing address
523 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-3444
(859) 331-4369
(859) 331-4319
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35.121447
OH
2085R0202X
Diagnostic Radiology Physician
Primary
47633
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2008
Last updated
10/16/2014
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