RUSSELL E TACKETT MD NPI 1821172768

NPI Information

Russell E Tackett, MD is an urology in Kansas City, MO. The provider is 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. Russell E Tackett, MD NPI is 1821172768. 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:

6400 PROSPECT AVE
SUITE440
KANSAS CITY, MO
ZIP 64132-100
Phone: (816) 361-0277
Fax: (916) 361-4733

The enumeration date for this NPI number is 10/25/2006 and was last updated on 9/7/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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