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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GWYNETTA MARIA LUCKETT, MD

Active

GWYNETTA MARIA LUCKETT, MD is a Pediatrics healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1053386185 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · FORT CAMPBELL, KY

Registration Details

NPI Number
1053386185
Provider Type
Individual
Gender
Female
NPI Issued
Feb 22, 2006 (20.485749640406 yrs)
Last Updated
May 28, 2025
License
35400 (TN)

Practice Information

Address
650 JOEL DR
FORT CAMPBELL, KY, 422235318
Browse KY providers · Browse ZIP 42223
Phone
2707988388
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in FORT CAMPBELL, KY

Name Credential NPI
LAKSHMI N KOONAPU M.D 1841266632
MR. DOUGLAS HENRY 1033185806
DR. RODOLFO PADILLA VELASCO MD 1871569251
ANGELA M. UY MD 1174620561
DR. SHELLON ANGELA MCALLISTER-ROGERS MD 1225187719
DR. DOMENICK PAUL NARDI JR. M.D. 1083810600
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.