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

KENYA TUCKER

Active Sole Proprietor

KENYA TUCKER is a Assisted Living Facility healthcare provider located in STONE MOUNTAIN, Georgia. NPI 1649162264 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · STONE MOUNTAIN, GA

Registration Details

NPI Number
1649162264
Provider Type
Individual
Gender
Female
NPI Issued
Jul 17, 2025 (1.0958663919046 yrs)
Last Updated
Jul 17, 2025
Sole Proprietor
Yes

Practice Information

Address
1422 CROOKED TREE CIR
STONE MOUNTAIN, GA, 300883760
Browse GA providers · Browse ZIP 30088
Phone
6788877814
Primary Specialty
Assisted Living Facility
310400000X
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.