Tucker, Kenneth

Tucker, Kenneth is an sole proprietor health care provider with primary practice located at 186 Apple Valley Rd Apt 5 , Fairmont WV 26554-7854. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Tucker, Kenneth can be contacted via phone (304) 435-5283.

Contact Information

Primary practice address
186 Apple Valley Rd Apt 5 Fairmont WV 26554-7854
Phone: (304) 435-5283
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1801480579
LBN Legal business name Tucker, Kenneth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2021
Last updated Feb 23rd, 2021 - about 4 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.

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