Individual
TYLER GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
613 23RD ST STE 340, ASHLAND, KY 41101-2879
(606) 329-2888
(606) 329-2890
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04400
KY
208600000X
Surgery Physician
34.013095
OH
Other
Enumeration date
02/28/2014
Last updated
12/22/2025
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