person
Dr. Kelly Jo Tackett, MDMPH
Student in an Organized Health Care Education/Training Program in Wilmington, North Carolina
NPI 1831777630

Kelly Jo Tackett is a Student in an Organized Health Care Education/Training Program based in Wilmington, NC. Kelly Jo Tackett practices in Wilmington, NC and has the professional credentials of MDMPH. The NPI Number for Kelly Jo Tackett is 1831777630 and holds a License No. TACK-I2KC0C (North Carolina).

The current practice location address for Kelly Jo Tackett is 2511 Delaney Ave, Wilmington, NC and can be reached out via phone at 910-667-9222.

Location: 2511 Delaney Ave, Wilmington, NC, 28403-6003
person
Provider Profile Details
NPI Number
1831777630
Provider Name
Kelly Jo Tackett
Credential
MDMPH
Provider Entity Type
Individual
Gender
Female
Address
2511 Delaney Ave, Wilmington, NC, 28403-6003
Phone Number
910-667-9222
Fax Number
Provider Enumeration Date
04/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2511 Delaney Ave
City
State
Zip
28403-6003
Phone Number
910-667-9222
Fax Number
person
Provider Business Mailing Address Details
Address
2511 Delaney Ave
City
State
Zip
28403-6003
Phone Number
910-667-9222
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
TACK-I2KC0C (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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