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1992115562
KATHERINE LEANN TACKETT
PRESTONSBURG, KY
NPI
1992115562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 04007)
Enumeration Date
2014-05-05
Last Update Date
2022-07-21
Business Address
-- KATHERINE LEANN TACKETT D.O.
1279 OLD ABBOTT MOUNTAIN RD
PRESTONSBURG, KY 41653-1889
Phone number: 606-886-1260
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Mailing Address
-- KATHERINE LEANN TACKETT D.O.
PO BOX 1595
ASHLAND, KY 41105-1595
Phone number: 606-408-6200
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