Individual provider · Type 1 NPI

Tyce McKeyan Riddle

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1659073138 Active

Practice location

530 S Jackson St
Louisville, KY 40202-1675

Call (606) 422-4204 Map

Mailing address

310 S Hancock St Unit 309
Louisville, KY 40202-4102

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Student Health Clinic/Center 261QS1000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1659073138

Tyce McKeyan Riddle's National Provider Identifier is 1659073138, issued on Mar 20, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on Apr 10, 2026.