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Cody Tucker, MD
Student in an Organized Health Care Education/Training Program in Madisonville, Kentucky
NPI 1306404090

Cody Tucker is a Student in an Organized Health Care Education/Training Program based in Madisonville, KY. Cody Tucker practices in Madisonville, KY and has the professional credentials of MD. The NPI Number for Cody Tucker is 1306404090 and holds a License No. (Kentucky).

The current practice location address for Cody Tucker is 200 Clinic Dr, Madisonville, KY and can be reached out via phone at 270-825-6680. You can also correspond with Cody Tucker through the mailing address at 200 CLINIC DRIVE, MADISONVILLE, KY - 42431 (mailing address contact number: 270-825-6680).

Location: 200 Clinic Dr, Madisonville, KY, 42431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306404090
Provider Name
Cody Tucker
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Clinic Dr, Madisonville, KY, 42431
Phone Number
270-825-6680
Fax Number
Provider Enumeration Date
05/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Clinic Dr
City
Madisonville
State
Kentucky
Zip
42431-1661
Phone Number
270-825-6680
Fax Number
person
Provider Business Mailing Address Details
Address
200 Clinic Drive
City
Madisonville
State
Kentucky
Zip
42431
Phone Number
270-825-6680
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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