Tucker, Summer Raye

Tucker, Summer Raye is an individual health care provider with primary practice located at 410 Hotchkiss St , Campbellsville KY 42718-1340. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tucker, Summer Raye can be contacted via phone (270) 465-0191.

Contact Information

Primary practice address
410 Hotchkiss St Campbellsville KY 42718-1340
Fax: (270) 465-0463
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02005817A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 03404 Kentucky

Profile Details

NPI number 1659505113
LBN Legal business name Tucker, Summer Raye
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2009
Last updated Feb 19th, 2024 - about 9 months 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 1659505113 NPPES
Missouri Other 2008016205 STATE OF MISSOURI LISCENSE
Missouri Other KY03404 STATE OF MISSOURI LISCENSE

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