Individual
KEVIN TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4165 MONROE ST STE A, TOLEDO, OH 43606-2038
(419) 754-1100
(419) 754-1103
Mailing address
4165 MONROE ST STE A, TOLEDO, OH 43606-2038
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2877
OH
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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