Individual
TAMMY KUEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 W FIELD DR, RED BUD, IL 62278-1304
(618) 282-3858
(618) 282-3965
Mailing address
200 W FIELD DR, RED BUD, IL 62278-1304
(618) 282-3858
(618) 282-3965
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.278476
IL
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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