Provider Demographics
NPI:1396096988
Name:KIGHT, TYLER JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:TYLER
Middle Name:JAMES
Last Name:KIGHT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1880 AIRPORT RD STE B
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-2117
Mailing Address - Country:US
Mailing Address - Phone:501-762-9648
Mailing Address - Fax:501-463-9196
Practice Address - Street 1:1880 AIRPORT RD STE B
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913
Practice Address - Country:US
Practice Address - Phone:501-762-9648
Practice Address - Fax:501-463-9196
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-24
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR15999111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor