Kimberly Jan Tucker in Johns Creek - Speech-language Pathologist
Kimberly Jan Tucker - NPI 1336131994
Kimberly Jan Tucker is a Speech-language Pathologist in Johns Creek, Georgia. Kimberly Jan Tucker practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kimberly Jan Tucker is 1336131994. The last update date is 2022-05-06.
Kimberly Jan Tucker's current location address is 10100 Groomsbridge Rd, Johns Creek, Georgia. You can contact this provider via phone number 7708807684. The mailing address for Kimberly Jan Tucker is 10100 Groomsbridge Rd, Johns Creek, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Jan Tucker |
|---|---|
| Address | 10100 Groomsbridge Rd, Johns Creek, Georgia |
| Phone Number | 7708807684 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.ED., CCC |
NPI Number Detail
| NPI Number | 1336131994 |
|---|---|
| Provider Enumeration Date | 2005-08-19 |
| Last Updated Date | 2022-05-06 |
Provider Mailing Address Detail
| Address | 10100 Groomsbridge Rd |
|---|---|
| City | Johns Creek |
| State | Georgia (GA) |
| Post Code | 300222673 |
| Phone Number | 7708807684 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | PCET001021 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 637018452A | GA | -- | |
| 10033374 | GA | -- | |
| 52703821 002 | GA | BLUE CROSS & BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kimberly Jan Tucker?
The Kimberly Jan Tucker has been issued the NPI (National Provider Identifier) 1336131994 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Kimberly Jan Tucker's physical address?
The Kimberly Jan Tucker is physically located at 10100 Groomsbridge Rd, in the city of Johns Creek, GA, with the postal code 300222673.
What is Kimberly Jan Tucker's area of expertise and its corresponding taxonomy classification?
The Kimberly Jan Tucker's field of specialization is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1336131994 assigned to Kimberly Jan Tucker?
The Kimberly Jan Tucker was issued its 1336131994 on 2005-08-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kimberly Jan Tucker most recently updated or revised?
The details related to Kimberly Jan Tucker, including its address, specialty, and other relevant information, were last updated or revised on 2022-05-06.