person
Tyce Mckeyan Riddle
Student Health Clinic/Center in Louisville, Kentucky
NPI 1659073138

Tyce Mckeyan Riddle is a Student Health Clinic/Center based in Louisville, KY and is specialized in Student Health. Tyce Mckeyan Riddle practices in Louisville, KY. The NPI Number for Tyce Mckeyan Riddle is 1659073138 and holds a License No. (Kentucky).

The current practice location address for Tyce Mckeyan Riddle is 530 S Jackson St, Louisville, KY and can be reached out via phone at 606-422-4204.

Location: 530 S Jackson St, Louisville, KY, 40202-4102
person
Provider Profile Details
NPI Number
1659073138
Provider Name
Tyce Mckeyan Riddle
Credential
Provider Entity Type
Individual
Gender
Male
Address
530 S Jackson St, Louisville, KY, 40202-4102
Phone Number
606-422-4204
Fax Number
Provider Enumeration Date
03/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
530 S Jackson St
City
State
Zip
40202-1675
Phone Number
606-422-4204
Fax Number
person
Provider Business Mailing Address Details
Address
530 S Jackson St
City
State
Zip
40202-1675
Phone Number
606-422-4204
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Student Health
Taxonomy
License No.
()
Definition
Definition to come...
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