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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRANDON TACKETT

Active

BRANDON TACKETT is a Family Medicine healthcare provider located in ATCHISON, Kansas. NPI 1538506613 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ATCHISON, KS

Registration Details

NPI Number
1538506613
Provider Type
Individual
Gender
Male
NPI Issued
May 29, 2013 (13.213671485957 yrs)
Last Updated
Oct 27, 2016
License
04-37700 (KS)

Practice Information

Address
810 RAVEN HILL DRIVE
ATCHISON, KS, 66002
Browse KS providers · Browse ZIP 66002
Phone
9133676689
Fax
9136742030
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in ATCHISON, KS

Name Credential NPI
WAYNE O WALLACE JR. MD 1639175292
JON M SIEBERT MD 1356347918
DR. JOHN T GROWNEY MD 1902871353
DR. MARY L RARDIN MD 1548237753
DR. RYAN M. THOMAS MD 1942269121
DR. KERSTIN M GLYNN MD 1033148507
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.