Individual provider · Type 1 NPI

Russell E. Tackett, MD

Urology Physician · Kansas City, MO

NPI number 1821172768 Active

Practice location

6400 Prospect Ave, SUITE440
Kansas City, MO 64132-1100

Call (816) 361-0277 Map

Fax (916) 361-4733

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XR6B18 (MO)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1821172768

Russell E. Tackett, MD's National Provider Identifier is 1821172768, issued on Oct 25, 2006. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Kansas City, MO. The record was last updated on Sep 7, 2007.