Kellyn Tucker

NPI #1316628795 in Tumwater, Washington

Provider Information

NPI Number: 1316628795
Entity Type: Individual
Name: Kellyn Tucker
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 27, 2023
Last Updated: Aug 3, 2023

Practice Location

Address: 1534 BISHOP RD SW
City: Tumwater
State: Washington
ZIP Code: 98512-7354
Phone: (360) 357-2370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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