JIM R TACKETT

LEXINGTON, KY
NPI1104882083
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KY  PA553)
Enumeration Date2006-04-21
Last Update Date2011-02-24
Business Address
Mr. JIM R TACKETT PA-C
1101 VETERANS DR
LEXINGTON, KY 40502-2235
Phone number: 859-233-4511
Mailing Address
Mr. JIM R TACKETT PA-C
2150 ELMFORK RD
NICHOLASVILLE, KY 40356-9619
Phone number: 859-887-9163
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