GARY JAMES HACKETT

CRESTVIEW HILLS, KY
NPI1003081258
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: KY  PA1110)
Enumeration Date2008-04-29
Last Update Date2014-01-21
Business Address
GARY JAMES HACKETT PA-C
2845 CHANCELLOR DR
CRESTVIEW HILLS, KY 41017-3418
Phone number: 859-426-4200
Mailing Address
GARY JAMES HACKETT PA-C
560 S LOOP RD
EDGEWOOD, KY 41017-3405
Phone number: 859-301-2663
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