Individual
KACY ROBINSON TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-9666
Mailing address
2109 CAMARO LN, HOOVER, AL 35226-1031
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-131163
AL
Other
Enumeration date
09/04/2019
Last updated
06/30/2023
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