KAYLA SHANE TACKETT

PIKEVILLE, KY
NPI1104521657
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY  4000516)
Enumeration Date2023-04-04
Last Update Date2023-08-03
Business Address
KAYLA SHANE TACKETT PMHNP-BC, APRN
484 TOLLAGE CRK
PIKEVILLE, KY 41501-3305
Phone number: 606-230-2255
Mailing Address
KAYLA SHANE TACKETT PMHNP-BC, APRN
484 TOLLAGE CRK
PIKEVILLE, KY 41501-3305
Phone number: 606-230-2255
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