Tuck, Kenneth D
Tuck, Kenneth D is an individual health care provider with primary practice located at 3320 Franklin Rd Sw , Roanoke VA 24014-1310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tuck, Kenneth D can be contacted via phone (540) 855-5100.Contact Information
Primary practice address
3320 Franklin Rd Sw
Roanoke VA 24014-1310
Phone: (540) 855-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0101013638 | Virginia |
Profile Details
| NPI number | 1730184805 |
|---|---|
| LBN Legal business name | Tuck, Kenneth D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Nov 19th, 2009 - about 15 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 | 1730184805 | NPPES |
| Virginia | MEDICAID | 006307248 |
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