Stucker, Kyle Matthew

Stucker, Kyle Matthew is an individual health care provider with primary practice located at 1850 Bluegrass Ave , Louisville KY 40215-1161. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Stucker, Kyle Matthew can be contacted via phone (502) 361-6000.

Contact Information

Primary practice address
1850 Bluegrass Ave Louisville KY 40215-1161
Phone: (502) 361-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 58468 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 58468 Kentucky

Profile Details

NPI number 1811575236
LBN Legal business name Stucker, Kyle Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2021
Last updated Jun 14th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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