Individual
KAYLA M TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
8991 OHIO RIVER RD, WHEELERSBURG, OH 45694-1923
(740) 716-7086
Mailing address
PO BOX 327, HUNTINGTON, WV 25708-0327
(304) 429-1088
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0027334
OH
363LA2200X
Adult Health Nurse Practitioner
117983
WV
Other
Enumeration date
03/04/2021
Last updated
01/27/2024
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