NPI 1366634370

Kevin Tyler, DO

Practitioner Anatomic Pathology & Clinical Pathology Physician Grand Forks, ND

Practice location

Address: 1200 S. Columbia Rd, Grand Forks, ND 58201
Phone: (701) 780-6000
Mailing address: 2401 Demers Ave, Grand Forks, ND 58201

Registered specialties (4)

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 17519 (ND)

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Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence OS015591 (PA)

Registry record

NPI: 1366634370
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Aug 2007
Record last updated: 8 Sep 2021

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.