Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN WAYNE KACKLEY, DVM
Active Sole ProprietorDR. KEVIN WAYNE KACKLEY, DVM is a 405300000X healthcare provider located in MT STERLING, Illinois. NPI 1891260931 is currently active in the NPPES registry. Verify at CMS.
405300000X · MT STERLING, IL
Registration Details
- NPI Number
- 1891260931
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2018 (7.8149461748821 yrs)
- Last Updated
- Oct 4, 2018
- License
-
090-005298 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
897 850E STMT STERLING, IL, 623531798Browse IL providers · Browse ZIP 62353
- Phone
- 2177733366
- Fax
- 2177734646
- Primary Specialty
-
405300000X
405300000X
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.