Individual provider · Type 1 NPI
Keisha Lee Tuck
Other Specialist/Technologist · Gallup, NM
NPI number
1396481503
Active
Practice location
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Mailing address
3514 Aldie Ct
Raleigh, NC 27610-6925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | 180581 (NC) |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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About NPI 1396481503
Keisha Lee Tuck's National Provider Identifier is 1396481503, issued on May 10, 2022. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Gallup, NM. The record was last updated on May 10, 2022.