Individual
MEGAN RACHELLE TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7629 KY ROUTE 979, GRETHEL, KY 41631
(606) 587-2200
Mailing address
1709 KY ROUTE 321 STE 3, PRESTONSBURG, KY 41653-9097
(606) 886-8546
(606) 886-8548
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012109
KY
Other
Enumeration date
02/27/2018
Last updated
09/13/2024
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