Individual
KELLY ANN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.R.C.
Contact information
Practice address
4371 E 72ND AVE, COMMERCE CITY, CO 80022-1471
(303) 853-3456
(303) 289-6962
Mailing address
700 PONDEROSA DR, FORT COLLINS, CO 80521-3129
(303) 853-3456
(303) 289-6962
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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