Individual provider · Type 1 NPI

Gary James Hackett, PA-C

Surgical Physician Assistant · Crestview Hills, KY

NPI number 1003081258 Active

Practice location

2845 Chancellor Dr
Crestview Hills, KY 41017-3418

Fax (859) 426-4206

Mailing address

560 S Loop Rd
Edgewood, KY 41017-3405

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA1110 (KY)

Surgical Physician Assistant: Definition to come...

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About NPI 1003081258

Gary James Hackett, PA-C's National Provider Identifier is 1003081258, issued on Apr 29, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Crestview Hills, KY. The record was last updated on Jan 21, 2014.