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NPI Code Detail

MEDICARE: TYLER KERR RN

MEDICARE: TYLER KERR RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WE0003XEmergency Registered NurseRN98523NV

General Provider Information

NPI Number : 1194593533
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER KERR RN
Provider Business Mailing Address
First Line : 4353 FRESNO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-1514
Country : US
Telephone Number : 181-227-6399
Fax Number :
Provider Business Practice Location Address
First Line : 4353 FRESNO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-1514
Country : US
Telephone Number : 812-276-3996
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2023
Last Update Date : 12/14/2023

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