Individual
DR. MADISON STEFFI TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0293
(859) 323-6047
(859) 257-3873
Mailing address
900 S LIMESTONE CTW 304, LEXINGTON, KY 40536-0293
(859) 323-2834
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
05819
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2021
Last updated
06/24/2024
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