IndividualActive
Tyler Marion, MD
NPI 1417410853 · MOHS-Micrographic Surgery Physician · Lexington, KY
Provider details
- NPI number
- 1417410853
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 60402 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2405 Harrodsburg Rd
Lexington, KY 40504-3329
Phone: (859) 278-9492
Fax: (859) 469-5461
Approximate (ZIP-level) locationGet directions
Mailing address
801 York St
Manitowoc, WI 54220-4630
Registry dates
- Enumerated
- 2019-04-11
- Last updated
- 2025-03-21
- Certified
- 2025-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.