Tucker, Summer Raye
Tucker, Summer Raye is an individual health care provider with primary practice located at 410 Hotchkiss St , Campbellsville KY 42718-1340. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tucker, Summer Raye can be contacted via phone (270) 465-0191.Contact Information
Primary practice address
410 Hotchkiss St
Campbellsville KY 42718-1340
Phone: (270) 465-0191
Fax: (270) 465-0463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02005817A | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 03404 | Kentucky |
Profile Details
| NPI number | 1659505113 |
|---|---|
| LBN Legal business name | Tucker, Summer Raye |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2009 |
| Last updated | Feb 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659505113 | NPPES |
| Missouri | Other | 2008016205 | STATE OF MISSOURI LISCENSE |
| Missouri | Other | KY03404 | STATE OF MISSOURI LISCENSE |
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