Doctor Name: | TYRONE L DANIELS |
NPI Number: | 1043264393 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 14818 |
Business Practice Address: | 289 Ireland Ave Medical Specialty Clinic Fort Knox, KY - 401215111 |
Business Phone Number: | 5026249167 |
Business Fax Number: | 5026240376 |
Mailing Address: | 289 Ireland Ave, Medical Specialty Clinic FORT KNOX |
State: | KY |
Postal Code: | 401215111 |
Phone Number: | 5026249167 |
Fax Number: | 5026240376 |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 01/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 14818 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |