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

Tyler Koestner

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053739284

Tyler Koestner is a General Surgery in Lexington, Kentucky. Qualified in 2014, 12 years ago. Practices with Mcv Associated Physicians, a 1,767-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
12
Licensed in
KY
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

800 Rose St
Lexington, KY 40536-2104
Phone: (859) 323-6013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 960 E 3rd St, Chattanooga, TN 37403-2104 — (423) 778-7695

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 53846 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053739284
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 4, 2014
Last updated in NPPESJune 17, 2020
Certification dateJune 17, 2020

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice McV Associated Physicians — 1767 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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