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Dr. Reva Duff Tackett, MD
Gynecology Physician in Lexington, Kentucky
NPI 1215916044

Reva Duff Tackett is a Gynecology Physician based in Lexington, KY and is specialized in Gynecology. Reva Duff Tackett practices in Lexington, KY and has the professional credentials of MD. The NPI Number for Reva Duff Tackett is 1215916044 and holds a License No. 20064 (Kentucky).

The current practice location address for Reva Duff Tackett is 1720 Nicholasville Rd Ste 702, Lexington, KY and can be reached out via phone at 859-264-8811 and via fax at 859-264-8822.

Location: 1720 Nicholasville Rd Ste 702, Lexington, KY, 40503-1489
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Provider Profile Details
NPI Number
1215916044
Provider Name
Reva Duff Tackett
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1720 Nicholasville Rd Ste 702, Lexington, KY, 40503-1489
Phone Number
859-264-8811
Fax Number
859-264-8822
Provider Enumeration Date
01/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64220643 05 KY
institution
Provider Business Practice Location Address Details
Address
1720 Nicholasville Rd Ste 702
City
State
Zip
40503-1489
Phone Number
859-264-8811
Fax Number
859-264-8822
person
Provider Business Mailing Address Details
Address
1720 Nicholasville Rd Ste 702
City
State
Zip
40503-1489
Phone Number
859-264-8811
Fax Number
859-264-8822
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
20064 (Kentucky)
Definition
Definition to come...
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