Tucker Family Medicine Psc

NPI 1275944589 - Family Medicine - 207Q00000X

NPI Details
NPI 1275944589
Enumeration Date 05/08/2014
Last Updated 06/24/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SUMMER SUMMER
Position FAMILY PHYSICIAN
Phone (270) 465-0191
Fax
Practice Location
105 GREENBRIAR DR
SUITE B
CAMPBELLSVILLE KY, 42718-9617, US
Phone (270) 465-0191
Fax
Business Location
105 GREENBRIAR DR
SUITE B
CAMPBELLSVILLE KY, 42718-9617, US
Phone (270) 465-0191
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Kentucky
License Number KY03404
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According to our database, Tucker Family Medicine Psc NPI is 1275944589, taxonomy code is 207Q00000X and license number is KY03404, license state is located at Kentucky. Tucker Family Medicine Psc physically located at 105 Greenbriar Dr, Campbellsville KY, 42718-9617. NPI Number 1033115704 has the healthcare provider type.

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1275944589 NPI number is provided on an as is basis without warranty of any kind. 1275944589 is maintained by the National Plan & Provider Enumeration System. The contents of Tucker Family Medicine Psc are for informational purposes only.