Kenneth Lee Tackett, RN, CNP is a psychiatric/mental health nurse practitioner in Houston, TX with 4 years of experience. Kenneth Lee Tackett, RN, CNP NPI is 1063099554. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4300 DUNLAVY ST APT 5118
HOUSTON, TX
ZIP 77006-441
Phone: (601) 927-7224
The NPI 1063099554 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/29/2021 and was last updated on 3/29/2021.