Provider Demographics
NPI:1942882162
Name:BYERLY, LUKE THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:LUKE
Middle Name:THOMAS
Last Name:BYERLY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:550 SOUTH JACKSON ST
Mailing Address - Street 2:1ST FLOOR AMBULATORY CARE BUILDING, ATTN: TAMMY THOMP
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202
Mailing Address - Country:US
Mailing Address - Phone:502-852-8605
Mailing Address - Fax:
Practice Address - Street 1:550 SOUTH JACKSON ST
Practice Address - Street 2:1ST FLOOR, AMBULATORY CARE BUILDING
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40292
Practice Address - Country:US
Practice Address - Phone:502-852-8605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-27
Last Update Date:2023-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program