Individual
KALEY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5920 S ESTES ST STE 250, LITTLETON, CO 80123-8620
(303) 973-3529
(303) 973-3549
Mailing address
5920 S ESTES ST STE 250, LITTLETON, CO 80123-8620
(303) 973-3529
(303) 973-3549
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0003630
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922351758
NPI
—
01
—
PA0003630
PA-C LICENSE
CO
Enumeration date
03/19/2013
Last updated
02/07/2020
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