TYLER GRANT

ASHLAND, KY
NPI1902221823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: KY  04400)
Additional Taxonomies208600000X Surgery
(Licence: OH  34.013095)
Enumeration Date2014-02-28
Last Update Date2022-03-06
Business Address
TYLER GRANT D.O.
613 23RD ST STE 440
ASHLAND, KY 41101-2885
Phone number: 606-329-2888
Mailing Address
TYLER GRANT D.O.
PO BOX 2379
ASHLAND, KY 41105-2379
Phone number: 606-408-6200