NPI 1023458478

Tyler J. Kelly, DPM

Practitioner Foot & Ankle Surgery Podiatrist Evansville, IN

Practice location

Address: 225 Crosslake Dr, Evansville, IN 47715-8198
Phone: (812) 477-1558
Mailing address: 225 Crosslake Dr., Evansville, IN 47715-7607

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 41000290A (IN)

Other Podiatrist providers in Indiana →

Registry record

NPI: 1023458478
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2013
Record last updated: 18 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.