IndividualActive
Clint Tucker, MD
NPI 1629394713 · Dermatology Physician · Louisville, KY
Provider details
- NPI number
- 1629394713
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 164546 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
310 E Broadway
Suite 200
Louisville, KY 40202-1745
Phone: (502) 585-5249
Fax: (502) 585-5251
Approximate (ZIP-level) locationGet directions
Mailing address
310 E Broadway
Louisville, KY 40202-1745
Registry dates
- Enumerated
- 2010-04-14
- Last updated
- 2015-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.