Wilson, Tyler Keith

Wilson, Tyler Keith is an individual health care provider with primary practice located at 701 Med Tech Pkwy Ste 200 , Johnson City TN 37604-2371. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wilson, Tyler Keith can be contacted via phone (423) 302-3480.

Contact Information

Primary practice address
701 Med Tech Pkwy Ste 200 Johnson City TN 37604-2371
Phone: (423) 302-3480
Fax: (423) 833-0639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 5746 Tennessee
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X LL82221 South Carolina

Profile Details

NPI number 1659931475
LBN Legal business name Wilson, Tyler Keith
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2019
Last updated Sep 8th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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