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W. Craig Tyree, Md, Plc
Specialist in Glasgow, Kentucky
NPI 1215126206

W. Craig Tyree, Md, Plc is a Specialist based in Glasgow, KY. W. Craig Tyree, Md, Plc practices in Glasgow, KY. The NPI Number for W. Craig Tyree, Md, Plc is 1215126206 and holds a License No. 34721 (Kentucky).

The current practice location address for W. Craig Tyree, Md, Plc is 103 Trista Ln, Glasgow, KY and can be reached out via phone at 270-659-0184 and via fax at 270-651-9264.

Location: 103 Trista Ln, Glasgow, KY, 42142-0416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215126206
Provider Name
W. Craig Tyree, Md, Plc
Credential
Provider Entity Type
Organization
Address
103 Trista Ln, Glasgow, KY, 42142-0416
Phone Number
270-659-0184
Fax Number
270-651-9264
Provider Enumeration Date
10/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000364525 01 KY ANTHEM GROUP NUMBER
64047186 05 KY
institution
Provider Business Practice Location Address Details
Address
103 Trista Ln
City
Glasgow
State
Kentucky
Zip
42141-3482
Phone Number
270-659-0184
Fax Number
270-651-9264
person
Provider Business Mailing Address Details
Address
103 Trista Ln
City
Glasgow
State
Kentucky
Zip
42141-3482
Phone Number
270-659-0184
Fax Number
270-651-9264
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
34721 (Kentucky)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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