Individual
DR. TERRY WHITMER TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 E PARRISH AVE, BUILDING D, OWENSBORO, KY 42303-1449
(270) 926-8171
(270) 926-4574
Mailing address
2200 E PARRISH AVE, BUILDING D, OWENSBORO, KY 42303-1449
(270) 926-8171
(270) 926-4574
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17554
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000048252
ANTHEM BCBS
KY
01
—
000000568035
BCBS (COOPERATIVE HEALTH SERVICES INC.)
KY
05
—
100014190
—
IN
05
—
6417554000
—
KY
Enumeration date
07/18/2005
Last updated
07/06/2008
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