IndividualActive
Keisha Tuck
NPI 1396481503 · Other Specialist/Technologist · Gallup, NM
Provider details
- NPI number
- 1396481503
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 180581 (NC)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
Approximate (ZIP-level) locationGet directions
Mailing address
3514 Aldie Ct
Raleigh, NC 27610-6925
Registry dates
- Enumerated
- 2022-05-10
- Last updated
- 2022-05-10
- Certified
- 2022-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.