Kellyn Tucker
Kellyn Tucker is a Student in an Organized Health Care Education/Training Program in Tumwater, Washington. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1534 Bishop Rd SWTumwater, WA 98512-7354
Phone: (360) 357-2370
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1316628795 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 27, 2023 |
| Last updated in NPPES | August 3, 2023 |
| Certification date | August 3, 2023 |
| Mailing address | 6961 Flute St Se, Lacey, WA 98513-5052 |
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