Kenneth B Tucker in Jacksonville - Internal Medicine

Kenneth B Tucker - NPI 1346294204

Kenneth B Tucker is a Internal Medicine in Jacksonville, Florida. Kenneth B Tucker practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kenneth B Tucker is 1346294204. The last update date is 2023-07-19.

Kenneth B Tucker's current location address is 4205 Belfort Rd Ste 4015, Jacksonville, Florida. You can contact this provider via phone number 9044506063 and fax number 9045394091. The mailing address for Kenneth B Tucker is 4205 Belfort Rd Ste 4015, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth B Tucker
Address 4205 Belfort Rd Ste 4015, Jacksonville, Florida
Phone Number 9044506063
Fax Number 9045394091
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1346294204
Provider Enumeration Date 2006-05-22
Last Updated Date 2023-07-19

Provider Mailing Address Detail

Address 4205 Belfort Rd Ste 4015
City Jacksonville
State Florida (FL)
Post Code 322163623
Phone Number 9044506063
Fax Number 9045394091

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No ME160121
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
51040677 AL BCBS
000810983B GA --
40677 AL --

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FAQs about Kenneth B Tucker

What is the unique identifier code issued to Kenneth B Tucker by the Centers for Medicare & Medicaid Services?

The Kenneth B Tucker has been assigned the NPI (National Provider Identifier) 1346294204. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Kenneth B Tucker is physically located?

The Kenneth B Tucker is physically situated at the following address: 4205 Belfort Rd Ste 4015, Jacksonville, FL, 322163623.

What is Kenneth B Tucker's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kenneth B Tucker is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.

When did the Kenneth B Tucker receive its 1346294204?

The Kenneth B Tucker was issued its 1346294204 on 2006-05-22, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Kenneth B Tucker most recently updated or revised?

The information pertaining to Kenneth B Tucker, including its address, specialty, and other relevant details, was last updated or revised on 2023-07-19.

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