Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK A. TACKETT, M.D.
ActiveMARK A. TACKETT, M.D. is a Family Medicine healthcare provider located in POWDERLY, Kentucky. NPI 1144281791 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · POWDERLY, KY
Registration Details
- NPI Number
- 1144281791
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2006 (20.22902228943 yrs)
- Last Updated
- May 14, 2019
- License
-
35646 (KY)
Practice Information
- Address
-
2025 W EVERLY BROTHERS BLVDPOWDERLY, KY, 423675401Browse KY providers · Browse ZIP 42367
- Phone
- 2703772600
- Fax
- 2703772610
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in POWDERLY, KY
| Name | Credential | NPI |
|---|---|---|
| MRS. KRISTY G CHAPPELL | MD | 1073514030 |
| JONATHAN TYLER SMITH | MD | 1265936603 |
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.