David Thomas Tackett, APRN

NPI #1043821085 in Edgewood, Kentucky

Provider Information

NPI Number
1043821085
Entity Type
Individual
Name
David Thomas Tackett, APRN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Credential
APRN
Enumeration Date
Aug 13, 2020
Last Updated
Aug 13, 2020

Practice Location

Address
20 MEDICAL VILLAGE DR
ZIP Code
41017-5401
Phone
(859) 578-5880

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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