Kellyn Tucker
Student in an Organized Health Care Education/Training Program in Tumwater, WA. Individual provider (NPI-1).
NPI number1316628795
StatusActive
Last updated in NPPESAug 3, 2023
Details
- NPI
- 1316628795
- Entity type
- Individual (NPI-1)
- Name
- Kellyn Tucker
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 27, 2023
- Certification date
- Aug 3, 2023
- Last updated
- Aug 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1534 Bishop Rd SwTumwater, WA 98512-7354
Phone 360-357-2370
Mailing address
6961 Flute St SeLacey, WA 98513-5052
Phone 360-508-5221
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Other Student in an Organized Health Care Education/Training Program providers in Tumwater, WA
- Meleah HickmanNPI 1194546168
- Nicole J MarsylaNPI 1871181404
- Melissa SwanNPI 1811724909
- Amanda Corilyn WagamanNPI 1609503507
- Courtney Danielle WagamanNPI 1104553080
All 6 Student in an Organized Health Care Education/Training Program providers in Tumwater · All 1,006 providers in Tumwater
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