Individual
KIMBERLY TUCKNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7451
(254) 778-4811
Mailing address
3009 IRA YOUNG DR APT 1210, TEMPLE, TX 76504-6363
(559) 392-2225
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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