Tucker, Kindrell S
Tucker, Kindrell S is an individual health care provider with primary practice located at 305 Shands Dr , Lufkin TX 75904-2885. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tucker, Kindrell S can be contacted via phone (936) 225-3657.Contact Information
Primary practice address
305 Shands Dr
Lufkin TX 75904-2885
Phone: (936) 225-3657
Fax: (936) 899-7293
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Q3822 | Texas |
Profile Details
| NPI number | 1245586296 |
|---|---|
| LBN Legal business name | Tucker, Kindrell S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2012 |
| Last updated | Oct 2nd, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245586296 | NPPES |
| Other | 1245586296 | TYPE I NATIONAL PROVIDER IDENTIFIER | |
| Other | 1467988600 | TYPE I NATIONAL PROVIDER IDENTIFIER |
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