KENNETH LEE TACKETT

HOUSTON, TX
NPI1063099554
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  1032032)
Enumeration Date2021-03-29
Last Update Date2021-03-29
Business Address
KENNETH LEE TACKETT RN, CNP
4300 DUNLAVY ST APT 5118
HOUSTON, TX 77006-5441
Phone number: 601-927-7224
Mailing Address
KENNETH LEE TACKETT RN, CNP
4300 DUNLAVY ST APT 5118
HOUSTON, TX 77006-5441
Phone number: 601-927-7224
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