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

Kaitlyn Luckock, MD

Individual provider Military Health Care Provider · NPI 1588352215

Kaitlyn Luckock, MD is a Military Health Care Provider in Jacksonville, Florida. Licensed in Virginia. Registered with an NPI since 2023.

Licensed in
VA
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2080 Child St
Jacksonville, FL 32214-5005
Phone: (904) 542-4677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 0101283169 (VA)
Military Health Care Provider Taxonomy 171000000X

Record details

NPI number1588352215
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2023
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address2080 Child St, Jacksonville, FL 32214-5005

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