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NPI Profile for TYCE M RIDDLE in LOUISVILLE, KY.
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student in an Organized Health Care Education/Training Program |
390200000X | |||
Student Health |
261QS1000X |
| NPI Number | 1659073138 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/20/2023 | |
| Last updated | 04/10/2026 - About 2 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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TYCE M RIDDLE
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TYCE M RIDDLE