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

Kelly Tyson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073254041

Kelly Tyson, DO is a Student in an Organized Health Care Education/Training Program in New York, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

New York, NY

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 331014 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073254041
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024

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