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NPI Code Detail

MEDICARE: TYLER KIRBY

MEDICARE: TYLER KIRBY
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
1103K00000XBehavior Analyst301810KY

General Provider Information

NPI Number : 1396537312
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER KIRBY
Provider Business Mailing Address
First Line : 280 HORACE JOHNSON RD
Second Line :
City : ALVATON
State : KY
Zip : 42122-9705
Country : US
Telephone Number : 270-438-3010
Fax Number :
Provider Business Practice Location Address
First Line : 203 YMCA WAY
Second Line :
City : GLASGOW
State : KY
Zip : 42141-1195
Country : US
Telephone Number : 727-486-6992
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2025
Last Update Date : 09/02/2025

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Directions to “ TYLER KIRBY ” Practice Location

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