Individual provider · Type 1 NPI

Kathryn Louise Stucker, MD

Student in an Organized Health Care Education/Training Program · Lafayette, IN

NPI number 1003495391 Active

Practice location

2600 Greenbush St
Lafayette, IN 47904-2477

Call (765) 448-8000 Map

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice locations

  • 301 E Muhammad Ali Blvd, Louisville, KY 40202-1511 · (502) 852-0710

Specialties and licenses

TaxonomyCodeLicense
Ophthalmology Physician 207W00000X01096938A (IN)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003495391

Kathryn Louise Stucker, MD's National Provider Identifier is 1003495391, issued on Apr 5, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lafayette, IN. The record was last updated on Jan 9, 2026.