Individual
MCKENNA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1707 CEDAR GROVE RD, SHEPHERDSVILLE, KY 40165-8572
(502) 203-1354
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
264802
KY
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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