Kimberly Tackett
NPI #1063014025 in Lucasville, Ohio
Provider Information
- NPI Number
- 1063014025
- Entity Type
- Individual
- Name
- Kimberly Tackett
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Home Health
- Enumeration Date
- Nov 13, 2020
- Last Updated
- Nov 13, 2020
Practice Location
- Address
- 636 HOUSTON HOLLOW CANDY RUN RD
- City
- Lucasville
- State
- Ohio
- ZIP Code
- 45648-8423
- Phone
- (740) 961-5702
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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