MR. JIM TACKETT, PA-C

Physician Assistant

Active Individual
NPI: 1104882083

Practice Address

1101 VETERANS DR
Lexington, KY 40502

Phone: (859) 233-4511

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA553 (KY)

Frequently Asked Questions

NPI 1104882083 is the National Provider Identifier for MR. JIM TACKETT, PA-C, a Physician Assistant provider located in Lexington, KY. This NPI was enumerated on April 21, 2006.
MR. JIM TACKETT, PA-C practices at 1101 VETERANS DR, Lexington, KY 40502.

Quick Facts

NPI
1104882083
Type
Individual
Enumerated
Apr 21, 2006
Last Updated
Feb 24, 2011

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