Kylah J Tucker
NPI #1164157087 in Springfield, Ohio
Provider Information
- NPI Number
- 1164157087
- Entity Type
- Individual
- Name
- Kylah J Tucker
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Jul 24, 2022
- Last Updated
- Jul 24, 2022
Practice Location
- Address
- 2010 RUTLAND AVE
- City
- Springfield
- State
- Ohio
- ZIP Code
- 45505-3962
- Phone
- (937) 209-4688
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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