Dr CATHY TACKETT is a female medical professional, specializing in Nurse Practitioner. She graduated in 2009.
LEWIS COUNTY PRIMARY CARE CENTER INC
142 DEPOT DR
SOUTH SHORE
KY
411759306
Tel: 6069322271
| Npi | 1912130048 |
| Pac Id | 7315084795 |
| Professional Enrollment Id | I20111229000677 |
| Last Name | TACKETT |
| First Name | CATHY |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | LEWIS COUNTY PRIMARY CARE CENTER INC |
| Group Practice Pac Id | 1153311774 |
| Number Of Group Practice Members | 47 |
| Line 1 Street Address | 142 DEPOT DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SOUTH SHORE |
| State | KY |
| Zip Code | 411759306 |
| Phone Number | 6069322271 |
| Hospital Affiliation Ccn 1 | 360008 |
| Hospital Affiliation Lbn 1 | SOUTHERN OHIO MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 180009 |
| Hospital Affiliation Lbn 2 | KING'S DAUGHTERS' MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 360361 |
| Hospital Affiliation Lbn 3 | KINGS DAUGHTERS MEDICAL CENTER OHIO |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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