Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY JAMES HACKETT, PA-C
ActiveGARY JAMES HACKETT, PA-C is a Surgical Physician Assistant healthcare provider located in CRESTVIEW HILLS, Kentucky. NPI 1003081258 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · CRESTVIEW HILLS, KY
Registration Details
- NPI Number
- 1003081258
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 29, 2008 (18.301572297844 yrs)
- Last Updated
- Jan 21, 2014
- License
-
PA1110 (KY)
Practice Information
- Address
-
2845 CHANCELLOR DRCRESTVIEW HILLS, KY, 410173418Browse KY providers · Browse ZIP 41017
- Phone
- 8594264200
- Fax
- 8594264206
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in CRESTVIEW HILLS, KY
| Name | Credential | NPI |
|---|---|---|
| MR. GEORGE AVERY KONDIK | PA-C | 1861497661 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.