MEDICARE: ROBERT TYLER MERKER

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
1	133V00000X	Registered Dietitian	86330111	KY
2	133N00000X	Nutritionist		KY

General Provider Information

NPI Number	:	1306727284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT TYLER MERKER

Provider Business Mailing Address
First Line	:	9618 RIVER TRAIL DR
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40229-5221
Country	:	US
Telephone Number	:	502-424-9892
Fax Number	:

Provider Business Practice Location Address
First Line	:	9618 RIVER TRAIL DR
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40229-5221
Country	:	US
Telephone Number	:	502-424-9892
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2025
Last Update Date	:	04/14/2026

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