Chasey Madison Tackett

NPI #1457956823 in Danville, Kentucky

Provider Information

NPI Number
1457956823
Entity Type
Individual
Name
Chasey Madison Tackett
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Enumeration Date
Dec 2, 2020
Last Updated
Dec 2, 2020

Practice Location

Address
104 SMOKY WAY STE 100
ZIP Code
40422-8729
Phone
(859) 236-8644

Specialties & Taxonomy Codes

Specialty
Optometrist

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