SearchIllinoisPrevention Professional

Kevin Kackley, DVM

NPI 1891260931 · on the registry since 2018 · sole proprietor

Practice

Address
897 850e St
Mt Sterling, IL 62353
Phone
(217) 773-3366
Fax
(217) 773-4646

Registry record

Primary taxonomy
Prevention Professional
405300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-10-04

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 Illinois