Katie Kuberg Tucker
Pediatrician
22136 Medical Village Drive
Athens
, Alabama 35613
Katie Kuberg Tucker
Pediatrician
22136 Medical Village Drive
Athens
, Alabama 35613
(833) 603-1295
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Katie Kuberg Tucker
- 22136 Medical Village Drive
- Athens, AL
- Zip : 35613-2940
- Fax : (833) 603-1295
- Phone : (256) 648-5598
Second Address
- Katie Kuberg Tucker
- 22136 Medical Village Drive
- Athens, AL
- Zip : 35613
- Fax : (833) 603-1295
- Phone : (256) 648-5598
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | DO.2031 | AL |
National Provider Identifier
| NPI | 1003264904 |
|---|---|
| Provider Name | Katie Kuberg Tucker |
| First Address | Athens, AL 35613-2940 |
| Second Address | Athens, AL 35613 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2016 |
| Last Update Date | 26/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.