Provider Demographics
NPI:1003170713
Name:SILVERS, JOSEPH TYLOR (DO)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:TYLOR
Last Name:SILVERS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1406 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-1688
Mailing Address - Country:US
Mailing Address - Phone:606-526-4970
Mailing Address - Fax:606-526-4971
Practice Address - Street 1:1406 W 5TH ST
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-1688
Practice Address - Country:US
Practice Address - Phone:606-526-4970
Practice Address - Fax:606-526-4971
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN11016792A207Q00000X
KY04039207QS0010X, 207Q00000X
IN02004559A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine