Individual
KELSEY TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6629 W CENTRAL AVE, TOLEDO, OH 43617-1098
(419) 930-7782
Mailing address
6629 W CENTRAL AVE, TOLEDO, OH 43617-1098
(419) 930-7782
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.488994
OH
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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