| Doctor Name: | DR. DANA R TYRRELL |
| NPI Number: | 1942206164 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 36274 |
| Business Practice Address: | 2601 Kentucky Ave. Doctor Bldg. 1 Suite 201 Paducah, KY - 420038468 |
| Business Phone Number: | 2705389555 |
| Business Fax Number: | 2705389554 |
| Mailing Address: | Po Box 8468, PADUCAH |
| State: | KY |
| Postal Code: | 420028468 |
| Phone Number: | 2705389555 |
| Fax Number: | 2705389554 |
| NPI Enumeration Date: | 06/22/2005 |
| NPI Last Update Date: | 05/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 36274 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |