Individual
JAMES PATRICK TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01054575A
IN
208000000X
Pediatrics Physician
36708
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64062953
—
KY
Enumeration date
07/13/2005
Last updated
10/07/2016
Update your record
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