Kenneth Tucker in Warren - Hematology & Oncology
Kenneth Tucker - NPI 1669479846
Kenneth Tucker is a Hematology & Oncology in Warren, Michigan. Kenneth Tucker practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Kenneth Tucker is 1669479846. The last update date is 2015-02-16.
Kenneth Tucker's current location address is 11900 E 12 Mile Rd, Warren, Michigan. You can contact this provider via phone number 5867512072 and fax number 5867511302. The mailing address for Kenneth Tucker is 11900 E 12 Mile Rd, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Tucker |
|---|---|
| Address | 11900 E 12 Mile Rd, Warren, Michigan |
| Phone Number | 5867512072 |
| Fax Number | 5867511302 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1669479846 |
|---|---|
| Provider Enumeration Date | 2005-07-05 |
| Last Updated Date | 2015-02-16 |
Provider Mailing Address Detail
| Address | 11900 E 12 Mile Rd |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480933400 |
| Phone Number | 5867512072 |
| Fax Number | 5867511302 |
Provider's Primary Taxonomy Detail
| Speciality | Hematology & Oncology |
|---|---|
| Taxonomy | 207Rh0003X |
| Licence No | 4301024231 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 700H273300 | MI | BCBSM | |
| 1672544 | MI | -- | |
| KT024231 | MI | BCBSM OTHER IDENTIFIER |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth Tucker by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth Tucker has been assigned the NPI (National Provider Identifier) 1669479846. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Kenneth Tucker's facilities are geographically located?
The facilities of Kenneth Tucker are physically situated at the following location: 11900 E 12 Mile Rd, Warren, MI, 480933400.
What is Kenneth Tucker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth Tucker is Hematology & Oncology, and the taxonomy code that classifies this field of practice is 207Rh0003X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669479846 to Kenneth Tucker?
The Centers for Medicare & Medicaid Services originally issued the 1669479846 to Kenneth Tucker on 2005-07-05.
As of what date were the Kenneth Tucker's details last updated?
The information pertaining to the Kenneth Tucker, including its address, specialty, and other details, was most recently updated on 2015-02-16.