National Provider Identifier Database

KEISHA L TUCK
Specialist/Technologist, Other

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.


Contact Information

KEISHA L TUCK
516 E NIZHONI BLVD
GALLUP, NM87301-5748
Phone: 505-722-1000
Fax:
Website:
Specialty Taxonomy Code
* Specialist/Technologist, Other 246Z00000X

* Indicates primary specialty

NPI Profile & details for KEISHA L TUCK

NPI Number 1396481503
Credentials
Entity Individual
Enumeration date 05/10/2022
Last updated 05/10/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • NC License #: 180581
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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