Individual
DR. ANDREA MICHELLE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
225 HOSPITAL DR, BLDG B, STE 255, WINCHESTER, KY 40391-7676
(859) 744-2623
(859) 744-9421
Mailing address
225 HOSPITAL DR, BLDG B, STE 255, WINCHESTER, KY 40391-7676
(859) 744-2623
(859) 744-9421
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
46054
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46054
MEDICAL LICENSE
KY
05
—
7100253360
—
KY
Enumeration date
06/11/2009
Last updated
03/07/2023
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