Jim Tackett, PA-C

NPI 1104882083 · on the registry since 2006

Practice

Address: 1101 Veterans Dr
Lexington, KY 40502
Phone: (859) 233-4511
Organisation at this address: Vamc
Lexington Vamc
Lexington Vamc
Department Of Veteran Affairs
Department Of Veterans Affairs Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 379

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: KY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-02-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky