Kelly A Tucker, MCD, CCC-SLP is a
Speech-language Pathologist based in Lafayette, Alabama. Kelly A Tucker is licensed to practice in Alabama (license number 1810) and her current practice location is
909 W. Alabama Ave., Lafayette, Alabama. She can be reached at her office (for appointments etc.) via phone at
(334) 757-1490.
NPI number for Kelly A Tucker is 1104962083 and her current mailing address is Po Box 235, Lafayette, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104962083.
Healthcare Provider's Profile
Full Name | Kelly A Tucker |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 909 W. Alabama Ave., Lafayette, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104962083
- Provider Enumeration Date: 01/29/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Kelly A Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104962083 | NPI | - | NPPES |
515-38005 | Other | AL | BLUECROSS BLUESHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 1810 (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly A Tucker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly A Tucker, MCD, CCC-SLP Po Box 235, Lafayette, AL 36862-0235 Ph: (334) 757-1490 | Kelly A Tucker, MCD, CCC-SLP 909 W. Alabama Ave., Lafayette, AL 36862 Ph: (334) 757-1490 |
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