BRIAN L TACKITT

GARDEN CITY, KS
NPI1518119049
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KS  55672)
Enumeration Date2008-10-15
Last Update Date2022-11-01
Business Address
Mr. BRIAN L TACKITT CRNA
401 E SPRUCE ST
GARDEN CITY, KS 67846-5679
Phone number: 620-272-2610
Mailing Address
Mr. BRIAN L TACKITT CRNA
7995 W RIVER RD
HOLCOMB, KS 67851-9094
Phone number: 620-277-2811
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