Individual
TYLER MORGAN MAINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1939 GOLDSMITH LN STE 143, LOUISVILLE, KY 40218-2091
(502) 428-4094
Mailing address
1939 GOLDSMITH LN STE 143, LOUISVILLE, KY 40218-2091
(502) 428-4094
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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