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

Tyler Neil Kimble

Individual provider Internal Medicine Physician · NPI 1407571482

Tyler Neil Kimble is a General Practice in Louisville, Kentucky. Qualified in 2023, 3 years ago. Practices with Fayette Physician Network Inc, a 297-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
3
Licensed in
KY
In the registry since
2022
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Practice location Address checks out

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone: (502) 636-7111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 62051 (KY)

Record details

NPI number1407571482
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 11, 2022
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Fayette Physician Network Inc — 297 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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