Individual
MS. KATHY RENEE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 N TRYON ST STE 428, CHARLOTTE, NC 28206-2843
(704) 347-1500
(704) 331-9041
Mailing address
1801 N TRYON ST STE 428, CHARLOTTE, NC 28206-2843
(704) 347-1500
(704) 331-9041
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
HC3523
NC
3747P1801X
Personal Care Attendant
HC3993
NC
3747P1801X
Personal Care Attendant
HC4316
NC
Other
Enumeration date
01/02/2007
Last updated
03/03/2011
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