Individual
GARY RECKART JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
3868 BETHEL LN, OAKLAND, KY 42159-9773
(270) 303-4465
Mailing address
3868 BETHEL LN, OAKLAND, KY 42159-9773
(270) 303-4465
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
1162741
FL
164W00000X
Licensed Practical Nurse
Primary
2043325
KY
Other
Enumeration date
09/27/2012
Last updated
06/03/2022
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