Kelly Ann Tackett

NPI #1083371926 in Ashtabula, Ohio

Provider Information

NPI Number: 1083371926
Entity Type: Individual
Name: Kelly Ann Tackett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Home Health Aide
Enumeration Date: Nov 28, 2021
Last Updated: Nov 28, 2021

Practice Location

Address: 321 W PROSPECT RD
City: Ashtabula
State: Ohio
ZIP Code: 44004-5860
Phone: (440) 344-5092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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