Kenneth Tucker

NPI #1811743412 in Las Vegas, Nevada

Provider Information

NPI Number: 1811743412
Entity Type: Individual
Name: Kenneth Tucker
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Respite Care
Enumeration Date: Apr 25, 2024
Last Updated: Apr 25, 2024

Practice Location

Address: 5313 CRIMSON RIDGE DR
City: Las Vegas
State: Nevada
ZIP Code: 89130-5320
Phone: (702) 945-8834

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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