Individual
KYLE MATTHEW STUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 BLUEGRASS AVE, LOUISVILLE, KY 40215-1161
(502) 361-6000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01096945A
IN
207P00000X
Emergency Medicine Physician
Primary
58468
KY
208D00000X
General Practice Physician
58468
KY
Other
Enumeration date
03/29/2021
Last updated
12/24/2025
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