Individual
SUMMER RAYE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
410 HOTCHKISS ST, CAMPBELLSVILLE, KY 42718-1340
(270) 465-0191
(270) 465-0463
Mailing address
410 HOTCHKISS ST, CAMPBELLSVILLE, KY 42718-1340
(270) 465-0191
(270) 465-0463
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02005817A
IN
207Q00000X
Family Medicine Physician
Primary
03404
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008016205
STATE OF MISSOURI LISCENSE
MO
01
—
KY03404
KY BOARD OF MEDICINE
KY
Enumeration date
05/12/2009
Last updated
02/19/2024
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