Individual
DR. KEVIN P. TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY STE 413, MILWAUKEE, WI 53215-3660
(414) 383-7744
(414) 383-8089
Mailing address
2514 S 102ND ST, SUITE 120, WEST ALLIS, WI 53227-2142
(414) 777-5200
(414) 777-5210
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
51647
WI
Other
Enumeration date
11/20/2006
Last updated
12/20/2021
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