Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Tyler, DO

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1366634370

Kevin Tyler, DO is a Pathology in Grand Forks, North Dakota. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2005, 21 years ago. Practices with Altru Health System, a 667-clinician group and accepts Medicare assignment. Licensed in Colorado, North Dakota, Pennsylvania and Wisconsin.

Years since qualifying
21
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
CO, ND, PA, WI
In the registry since
2007
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1200 S Columbia Rd
Grand Forks, ND 58201
Phone: (701) 780-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 17519 (ND)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 53208-021 (WI)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 48679 (CO)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence OS015591 (PA)

Record details

NPI number1366634370
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 14, 2007
Last updated in NPPESSeptember 8, 2021
Certification dateSeptember 8, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2005 (21 years in practice)
Group practice Altru Health System — 667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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