Individual
KRISTI LEANN TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
184 S MAYO TRL, PIKEVILLE, KY 41501-1518
(606) 430-2213
(606) 432-4365
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 430-2213
(606) 432-4365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04008
KY
Other
Enumeration date
05/07/2014
Last updated
09/22/2022
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