Tucker, Linda Kettner

Tucker, Linda Kettner is an individual health care provider with primary practice located at 5000 Mequon Road , Mequon WI 53092. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Tucker, Linda Kettner can be contacted via phone (262) 238-5821.

Contact Information

Primary practice address
5000 Mequon Road Mequon WI 53092
Fax:
Website:

Profile Details

NPI number 1932342011
LBN Legal business name Tucker, Linda Kettner
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2009
Last updated Apr 20th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932342011 NPPES
Wisconsin MEDICAID 20182700

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