KATIE TUCKER — Medicare Enrolled Provider (ORDER AND REFERRING ONLY - PEDIATRIC MEDICINE, WV)
KATIE TUCKER — Medicare Enrolled Provider (ORDER AND REFERRING ONLY - PEDIATRIC MEDICINE, WV) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: KATIE TUCKER; Type: Individual; NPI: 1003264904.
| Name | KATIE TUCKER |
|---|---|
| Type | Individual |
| NPI | 1003264904 |
| Provider type | ORDER AND REFERRING ONLY - PEDIATRIC MEDICINE |
| State | WV |
| Enrollment ID | I20160907002041 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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