| Doctor Name: | VICKI SUE TACKETT |
| NPI Number: | 1457498677 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N.C., ARNP |
| License Number: | 2256P |
| Business Practice Address: | 900 N College St Harrodsburg, KY - 403301089 |
| Business Phone Number: | 8597342229 |
| Business Fax Number: | |
| Mailing Address: | 900 N College St, HARRODSBURG |
| State: | KY |
| Postal Code: | 403301089 |
| Phone Number: | 8597342229 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0101X |
| License Number: | 2256P |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Women's Health Care, Ambulatory |
| Taxonomy Definition: | |