LADDIE L TACKETT

LOUISVILLE, KY
NPI1104975051
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: KY  19626)
Enumeration Date2007-01-09
Last Update Date2007-07-08
Business Address
Dr. LADDIE L TACKETT M.D.
13550 TRITON PARK BLVD FL 4 ANTHEM BLUE CROSS AND BLUE SHIELD
LOUISVILLE, KY 40223-4194
Phone number: 502-889-2711
Mailing Address
Dr. LADDIE L TACKETT M.D.
13550 TRITON PARK BLVD FL 4 ANTHEM BLUE CROSS AND BLUE SHIELD
LOUISVILLE, KY 40223-4194
Phone number: 502-889-2711
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