Individual
WILLIAM A. TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD # MS 3017, KANSAS CITY, KS 66160-8500
(251) 753-1987
Mailing address
3901 RAINBOW BLVD # MS 3017, KANSAS CITY, KS 66160-8500
(913) 588-1234
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
04-43440
KS
207X00000X
Orthopaedic Surgery Physician
12208319-1205
UT
207XS0117X
Orthopaedic Surgery of the Spine Physician
12208319-1205
UT
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
04-43440
KS
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
12208319-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004655600002
—
KS
Enumeration date
03/31/2015
Last updated
11/02/2022
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