Provider Demographics
NPI:1306727284
Name:MERKER, ROBERT TYLER
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:TYLER
Last Name:MERKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 ALUMNI DR APT 6102
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-3957
Mailing Address - Country:US
Mailing Address - Phone:502-424-9892
Mailing Address - Fax:
Practice Address - Street 1:2500 ALUMNI DR APT 6102
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-3957
Practice Address - Country:US
Practice Address - Phone:502-424-9892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist