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Kenneth Lee Tackett, RN,CNP
Psychiatric/Mental Health Nurse Practitioner in Houston, Texas
NPI 1063099554

Kenneth Lee Tackett is a Psychiatric/Mental Health Nurse Practitioner based in Houston, TX and is specialized in Psychiatric/Mental Health. Kenneth Lee Tackett practices in Houston, TX and has the professional credentials of RN,CNP. The NPI Number for Kenneth Lee Tackett is 1063099554 and holds a License No. 1032032 (Texas).

The current practice location address for Kenneth Lee Tackett is 4300 Dunlavy St Apt 5118, Houston, TX and can be reached out via phone at 601-927-7224.

Location: 4300 Dunlavy St Apt 5118, Houston, TX, 77006-5441
person
Provider Profile Details
NPI Number
1063099554
Provider Name
Kenneth Lee Tackett
Credential
RN,CNP
Provider Entity Type
Individual
Gender
Male
Address
4300 Dunlavy St Apt 5118, Houston, TX, 77006-5441
Phone Number
601-927-7224
Fax Number
Provider Enumeration Date
03/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4300 Dunlavy St Apt 5118
City
State
Zip
77006-5441
Phone Number
601-927-7224
Fax Number
person
Provider Business Mailing Address Details
Address
4300 Dunlavy St Apt 5118
City
State
Zip
77006-5441
Phone Number
601-927-7224
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
1032032 (Texas)
Definition
Definition to come...
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