Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYCE MCKEYAN RIDDLE
Active Sole ProprietorTYCE MCKEYAN RIDDLE is a Student Health Clinic healthcare provider located in LOUISVILLE, Kentucky. NPI 1659073138 is currently active in the NPPES registry. Verify at CMS.
Student Health Clinic · LOUISVILLE, KY
Registration Details
- NPI Number
- 1659073138
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2023 (3.4346446398876 yrs)
- Last Updated
- Mar 20, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
530 S JACKSON STLOUISVILLE, KY, 402021675Browse KY providers · Browse ZIP 40202
- Phone
- 6064224204
- Primary Specialty
-
Student Health Clinic
261QS1000X
Other Student Health Clinic Providers in LOUISVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| SIERRA SHOCKLEY | — | 1740985662 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.