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Laddie Tackett, M.D
NPI 1104975051 · on the registry since 2007
Practice
- Address
- 13550 Triton Park Blvd Fl 4
Anthem Blue Cross And Blue Shield
Louisville, KY 40223 - Phone
- (502) 889-2711
- Fax
- (502) 889-2783
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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