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1417367848
KRISTI LEANN TACKETT
PIKEVILLE, KY
NPI
1417367848
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Former Name
KRISTI LEANN SENTERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 04008)
Enumeration Date
2014-05-07
Last Update Date
2022-09-22
Business Address
KRISTI LEANN TACKETT D.O.
184 S MAYO TRL
PIKEVILLE, KY 41501-1518
Phone number: 606-430-2213
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Mailing Address
KRISTI LEANN TACKETT D.O.
PO BOX 432
PIKEVILLE, KY 41502-0432
Phone number: 606-430-2213
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