Individual provider · Type 1 NPI
Tyler Kinson Palbicke, MD
General Practice Physician · Cannon Afb, NM
NPI number
1790469799
Active
Practice location
224 W D.l. Ingram Avenue, Bldg. 1408
Cannon Afb, NM 88103-5014
Mailing address
3517 Adenmor Ct Apt 2B
Clovis, NM 88101-3058
Other practice locations
- 301 Fisher St, Keesler Afb, MS 39534-2508 · (228) 376-3092
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| General Practice Physician Primary | 208D00000X | 37107 (NE) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
3 other providers at this address
Other general practice physician providers in Cannon Afb
About NPI 1790469799
Tyler Kinson Palbicke, MD's National Provider Identifier is 1790469799, issued on Jun 12, 2023. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Cannon Afb, NM. The record was last updated on Aug 15, 2025.