MR. Brian L Tackitt, CRNA
NPI #1518119049 in Garden City, Kansas
Provider Information
- NPI Number
- 1518119049
- Entity Type
- Individual
- Name
- MR. Brian L Tackitt, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Oct 15, 2008
- Last Updated
- Nov 1, 2022
Practice Location
- Address
- 401 E SPRUCE ST
- City
- Garden City
- State
- Kansas
- ZIP Code
- 67846-5679
- Phone
- (620) 272-2610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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