JONATHAN MARK TACKETT

PRESTONSBURG, KY
NPI1922369974
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: KY  03794)
Enumeration Date2012-06-06
Last Update Date2017-02-07
Business Address
-- JONATHAN MARK TACKETT D.O.
1279 OLD ABBOTT MOUNTAIN RD
PRESTONSBURG, KY 41653-1889
Phone number: 606-886-1260
Mailing Address
-- JONATHAN MARK TACKETT D.O.
PO BOX 1595
ASHLAND, KY 41105-1595
Phone number: 606-408-6200
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