Individual
TUCKER L KIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1811 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-5740
(318) 795-2638
Mailing address
1811 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-5740
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
P09521
LA
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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