person
Gary James Hackett, PA-C
Surgical Physician Assistant in Crestview Hills, Kentucky
NPI 1003081258

Gary James Hackett is a Surgical Physician Assistant based in Edgewood, KY and is specialized in Surgical. Gary James Hackett practices in Crestview Hills, KY and has the professional credentials of PA-C. The NPI Number for Gary James Hackett is 1003081258 and holds a License No. PA1110 (Kentucky).

The current practice location address for Gary James Hackett is 2845 Chancellor Dr, Crestview Hills, KY and can be reached out via phone at 859-426-4200 and via fax at 859-426-4206.

Location: 2845 Chancellor Dr, Crestview Hills, KY, 41017-3405
person
Provider Profile Details
NPI Number
1003081258
Provider Name
Gary James Hackett
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2845 Chancellor Dr, Crestview Hills, KY, 41017-3405
Phone Number
859-426-4200
Fax Number
859-426-4206
Provider Enumeration Date
04/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100050170 05 KY
CB8861 01 KY RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2845 Chancellor Dr
City
State
Zip
41017-3418
Phone Number
859-426-4200
Fax Number
859-426-4206
person
Provider Business Mailing Address Details
Address
2845 Chancellor Dr
City
State
Zip
41017-3418
Phone Number
859-426-4200
Fax Number
859-426-4206
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA1110 (Kentucky)
Definition
Definition to come...
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