National Provider Identifier
Kelly Marie Tucker, FNP
Kelly Marie Tucker, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Lockport, NY and a listed phone number of (716) 630-1335.
Profile Overview
- NPI
- 1144003286
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- August 14, 2023
- Last Updated
- January 04, 2024
Practice Location
- 6950 S Transit RD
- Lockport, NY 14094-6333
Phone: (716) 630-1335
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-8235
Specialties
- Family Nurse Practitioner (363LF0000X)
Endpoints
- production@direct.buffalomedicalgroup.com
Direct Messaging Address | Williamsville, NY 14221
Full Record
- NPI
- 1144003286
- Entity Type
- Individual
- Last Name
- Tucker
- First Name
- Kelly
- Middle Name
- Marie
- Credential
- FNP
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8235
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Mailing Fax
- (716) 817-1726
- Practice Street Address
- 6950 S Transit RD
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-6333
- Practice Country
- US
- Practice Phone
- (716) 630-1335
- Practice Fax
- (716) 817-1770
- Enumeration Date
- August 14, 2023
- Last Updated
- January 04, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 04, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)