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Tyler J. Elam, DO
Family Medicine Physician in Grayson, Kentucky
NPI 1144646209

Tyler J. Elam is a Family Medicine Physician based in Vanceburg, KY. Tyler J. Elam practices in Grayson, KY and has the professional credentials of DO. The NPI Number for Tyler J. Elam is 1144646209 and holds a License No. 04118 (Kentucky).

The current practice location address for Tyler J. Elam is 645 Interstate Dr, Grayson, KY and can be reached out via phone at 606-474-0669 and via fax at 606-474-0376.

Location: 645 Interstate Dr, Grayson, KY, 41179-0550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144646209
Provider Name
Tyler J. Elam
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
645 Interstate Dr, Grayson, KY, 41179-0550
Phone Number
606-474-0669
Fax Number
606-474-0376
Provider Enumeration Date
03/13/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K247850 01 KY MEDICARE MMS
04118 01 KY STATE MEDICAL LICENSE
7100472630 05 KY
institution
Provider Business Practice Location Address Details
Address
645 Interstate Dr
City
Grayson
State
Kentucky
Zip
41143-1704
Phone Number
606-474-0669
Fax Number
606-474-0376
person
Provider Business Mailing Address Details
Address
645 Interstate Dr
City
Grayson
State
Kentucky
Zip
41143-1704
Phone Number
606-474-0669
Fax Number
606-474-0376
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
04118 (Kentucky)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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