Tucker, Kaitlyn Diane

Tucker, Kaitlyn Diane is an individual health care provider with primary practice located at 6400 Dutchmans Pkwy Ste 345 , Louisville KY 40205-3370. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Tucker, Kaitlyn Diane can be contacted via phone (502) 587-6010.

Contact Information

Primary practice address
6400 Dutchmans Pkwy Ste 345 Louisville KY 40205-3370
Phone: (502) 587-6010
Fax: (502) 587-1314
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Kentucky
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 006465 Georgia

Profile Details

NPI number 1225390891
LBN Legal business name Tucker, Kaitlyn Diane
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2012
Last updated Nov 14th, 2020 - about 6 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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