Individual
TYLER DITTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
316 W 2ND ST, MOREHEAD, KY 40351-1550
(606) 784-3771
(606) 783-6847
Mailing address
316 W 2ND ST, MOREHEAD, KY 40351-1550
(606) 784-3771
(606) 783-6847
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TP591
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2022
Last updated
08/06/2025
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