Individual
DR. KEVIN WAYNE KACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DVM
Contact information
Practice address
897 850E ST, MT STERLING, IL 62353-1798
(217) 773-3366
(217) 773-4646
Mailing address
PO BOX 228, MT STERLING, IL 62353-0228
(217) 773-3366
(217) 773-4646
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
090-005298
IL
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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