Individual
KIRK M TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1715 BROWN ST., DAYTON, OH 45409-2624
(937) 208-9010
(937) 208-9020
Mailing address
1715 BROWN ST., DAYTON, OH 45409-2624
(937) 208-9010
(937) 208-9020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.080892
OH
207R00000X
Internal Medicine Physician
35080892
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2336001
—
OH
Enumeration date
07/18/2006
Last updated
05/31/2023
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