Individual
KAITLYN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
9724 KINGSTON PIKE STE 107, KNOXVILLE, TN 37922-3387
(865) 219-3474
Mailing address
9724 KINGSTON PIKE STE 107, KNOXVILLE, TN 37922-3387
(865) 474-0910
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3687
TN
Other
Enumeration date
09/02/2025
Last updated
10/16/2025
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