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NPI Verification

National Provider Identifier: 1225390891

Kaitlyn Diane Tucker, PA-C

Individual Provider

Credentials

PA-C

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (2)

Physician Assistant

Code: 363A00000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Practice Address

PO BOX 909

LOUISVILLE, KY 402010909

Phone: 502-587-6010

NPI Enumeration Date

June 11, 2012

NPI Number

1225390891

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry