Tuck, Kenneth D

Tuck, Kenneth D is an individual health care provider with primary practice located at 3320 Franklin Rd Sw , Roanoke VA 24014-1310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tuck, Kenneth D can be contacted via phone (540) 855-5100.

Contact Information

Primary practice address
3320 Franklin Rd Sw Roanoke VA 24014-1310
Phone: (540) 855-5100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101013638 Virginia

Profile Details

NPI number 1730184805
LBN Legal business name Tuck, Kenneth D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 19th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730184805 NPPES
Virginia MEDICAID 006307248

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