Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEISHA LEE TUCK
ActiveKEISHA LEE TUCK is a Specialist/Technologist, Surgical healthcare provider located in GALLUP, New Mexico. NPI 1396481503 is currently active in the NPPES registry. Verify at CMS.
Specialist/Technologist, Surgical · GALLUP, NM
Registration Details
- NPI Number
- 1396481503
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 10, 2022 (4.2883821585728 yrs)
- Last Updated
- May 10, 2022
- License
-
180581 (NC)
Practice Information
- Address
-
516 E NIZHONI BLVDGALLUP, NM, 873015748Browse NM providers · Browse ZIP 87301
- Phone
- 5057221000
- Primary Specialty
-
Specialist/Technologist, Surgical
246Z00000X
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.