Individual provider · Type 1 NPI

Kimberly Tackett

Home Health Agency · Lucasville, OH

NPI number 1063014025 Active

Practice location

636 Houston Hollow Candy Run Rd
Lucasville, OH 45648-8423

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	0000274977 (OH)
Home Health Agency	251E00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1063014025

Kimberly Tackett's National Provider Identifier is 1063014025, issued on Nov 13, 2020. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Lucasville, OH. The record was last updated on Nov 13, 2020.