ROBERTA TACKETT

CORBIN, KY
NPI1710104716
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY  3002865)
Enumeration Date2007-04-19
Last Update Date2011-03-29
Business Address
-- ROBERTA TACKETT APRN, RN
1203 AMERICAN GREETING RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
Mailing Address
-- ROBERTA TACKETT APRN, RN
PO BOX 568
CORBIN, KY 40702-0568
Phone number:
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