Tyler J. Kelly
Foot & Ankle Surgery
225 Crosslake Dr
Evansville
, Indiana 47715-8198
Tyler J. Kelly
Foot & Ankle Surgery
225 Crosslake Dr
Evansville
, Indiana 47715-8198
(812) 477-1558
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Tyler J. Kelly
- 225 Crosslake Dr.
- Evansville, IN
- Zip : 47715-7607
- Phone : (812) 477-1558
Second Address
- Tyler J. Kelly
- 225 Crosslake Dr
- Evansville, IN
- Zip : 47715-8198
- Phone : (812) 477-1558
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 41000290A | IN |
National Provider Identifier
| NPI | 1023458478 |
|---|---|
| Provider Name | Tyler J. Kelly |
| First Address | Evansville, IN 47715-7607 |
| Second Address | Evansville, IN 47715-8198 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2013 |
| Last Update Date | 18/12/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.