Kierra Tackett

NPI #1457068488 in Sandy Hook, Kentucky

Provider Information

NPI Number: 1457068488
Entity Type: Individual
Name: Kierra Tackett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Oct 31, 2022
Last Updated: Oct 31, 2022

Practice Location

Address: 374 N KY 7
City: Sandy Hook
State: Kentucky
ZIP Code: 41171-7938
Phone: (606) 738-6163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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