National Provider Identifier
Kevin Malcolm Tucker
Kevin Malcolm Tucker is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 256-7500.
Source: public NPPES record, last updated February 13, 2019. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1679039838
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- February 13, 2019
- Last Updated
- February 13, 2019
Practice Location
- 1 Mustard St
- Rochester, NY 14609-6980
Phone: (585) 256-7500
Specialties
- Peer Specialist (175T00000X)
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Full Record
- NPI
- 1679039838
- Entity Type
- Individual
- Last Name
- Tucker
- First Name
- Kevin
- Middle Name
- Malcolm
- Mailing Street Address
- 1 Mustard St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-6980
- Mailing Country
- US
- Practice Street Address
- 1 Mustard St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-6980
- Practice Country
- US
- Practice Phone
- (585) 256-7500
- Enumeration Date
- February 13, 2019
- Last Updated
- February 13, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)