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1144281791
MARK A. TACKETT
POWDERLY, KY
NPI
1144281791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 35646)
Enumeration Date
2006-03-31
Last Update Date
2019-05-14
Business Address
MARK A. TACKETT M.D.
2025 W EVERLY BROTHERS BLVD
POWDERLY, KY 42367-5401
Phone number: 270-377-2600
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Mailing Address
MARK A. TACKETT M.D.
PO BOX 23229
OWENSBORO, KY 42304-3229
Phone number: 270-688-1330
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