Organization
KYLA TUCKER, APRN, FNP-C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLA TUCKER NP-C (OWNER)
(860) 792-6799
Entity
Organization
Contact information
Practice address
14 HARRISON ST, PUTNAM, CT 06260-1226
(860) 792-6799
Mailing address
14 HARRISON ST, PUTNAM, CT 06260-1226
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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