Individual
KIWANIS RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4909 ALABAMA AVE # 1033, NASHVILLE, TN 37209-3449
(615) 752-7224
Mailing address
4909 ALABAMA AVE # 1033, NASHVILLE, TN 37209-3449
(615) 752-7224
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/27/2026
Last updated
06/27/2026
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