NPI 1346716362
Perry Lynn Tucker
Practice location
- Address
- 875 State Route Vv, Kennett, MO 63857-9108
- Phone
- (573) 888-5925
- Mailing address
- 925 State Route Vv, Kennett, MO 63857-3822
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1346716362
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Oct 2018
- Record last updated
- 17 Oct 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.