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NPI Code Detail

MEDICARE: DR. TYLER JAMES BLAIR RABY DO

MEDICARE: DR. TYLER JAMES BLAIR RABY DO
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
1390200000XStudent in an Organized Health Care Education/Training ProgramOK

General Provider Information

NPI Number : 1841132826
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TYLER JAMES BLAIR RABY DO
Provider Business Mailing Address
First Line : 3509 NE APPLE TREE LN
Second Line :
City : KANSAS CITY
State : MO
Zip : 64119-2224
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4401 S WESTERN AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-3413
Country : US
Telephone Number : 405-636-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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