Tucker, Kaitlin Reagan

Tucker, Kaitlin Reagan is an individual health care provider with primary practice located at 1218 Trotwood Ave , Columbia TN 38401-6406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tucker, Kaitlin Reagan can be contacted via phone (931) 380-4114.

Contact Information

Primary practice address
1218 Trotwood Ave Columbia TN 38401-6406
Phone: (931) 380-4114
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Tennessee

Profile Details

NPI number 1295089274
LBN Legal business name Tucker, Kaitlin Reagan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2012
Last updated Sep 27th, 2013 - about 13 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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