Individual provider · Type 1 NPI

Kellyn Tucker

Student in an Organized Health Care Education/Training Program · Tumwater, WA

NPI number 1316628795 Active

Practice location

1534 Bishop Rd SW
Tumwater, WA 98512-7354

Call (360) 357-2370 Map

Mailing address

6961 Flute St SE
Lacey, WA 98513-5052

Specialties and licenses

TaxonomyCodeLicense
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 1316628795

Kellyn Tucker's National Provider Identifier is 1316628795, issued on Jul 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tumwater, WA. The record was last updated on Aug 3, 2023.