Kelly R Tucker MD

NPI 1033192166 - Family Medicine - 207Q00000X

NPI Details
NPI 1033192166
Gender Male
Enumeration Date 11/22/2005
Last Updated 08/25/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
102 E YOUNG ST
LLANO TX, 78643-1349, US
Phone (325) 247-4131
Fax (325) 248-2099
Business Location
200 W OLLIE ST
LLANO TX, 78643-2628, US
Phone (325) 247-5040
Fax (325) 247-2108
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number H0894
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According to our database, Kelly R Tucker MD NPI is 1033192166, taxonomy code is 207Q00000X and license number is H0894, license state is located at Texas. Kelly R Tucker MD physically located at 102 E Young St, Llano TX, 78643-1349. NPI Number Kelly R Tucker MD has the Individual type.

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1033192166 NPI number is provided on an as is basis without warranty of any kind. 1033192166 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly R Tucker MD are for informational purposes only.