Katherine Leann Tackett (NPI# 1992115562, PAC ID# 5395018394) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1992115562 |
| PAC ID by PECOS | 5395018394 |
| Professional Enrollment ID | I20170913000396 |
| Full Name | Katherine Leann Tackett |
| Organization Legal Name | ASHLAND HOSPITAL CORPORATION |
| Address |
391 W Tom T Hall Blvd Olive Hill KY 41164-7688 |
| Phone Number | 6062868039 |
| Gender | M |
| Medical School | PIKEVILLE COLLEGE SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7719882521 |
| Number of Group Practice Members | 91 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180009 | KING'S DAUGHTERS' MEDICAL CENTER |
| 360008 | SOUTHERN OHIO MEDICAL CENTER |
| 180005 | HIGHLANDS REGIONAL MEDICAL CENTER |
| 180078 | PAUL B HALL REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 391 W Tom T Hall Blvd, Olive Hill, KY 41164-7688 | 6062868039 | ASHLAND HOSPITAL CORPORATION |
| 1279 Old Abbott Mountain Rd, Prestonsburg, KY 41653-1889 | 6068861260 | ASHLAND HOSPITAL CORPORATION |
| Organization Legal Name | ASHLAND HOSPITAL CORPORATION |
| Physicians | 82 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Thomas Faulkner | Nurse Practitioner | Ashland Hospital Corporation | 4004 Louisa Rd, Catlettsburg, KY 41129-1091 |
| Carolyn Marie Spangler | Nurse Practitioner | Ashland Hospital Corporation | 2421 Winchester Ave, Ashland, KY 41101-7835 |
| Brittany G Bond | Nurse Practitioner | Ashland Hospital Corporation | 609 N Carol Malone Blvd, Grayson, KY 41143-1123 |
| Tara Nicole James | Physician Assistant | Ashland Hospital Corporation | 10650 Us Route 60, Ashland, KY 41102-9611 |
| William Shayne Bennett | Nurse Practitioner | Ashland Hospital Corporation | 1107 Bellefonte Rd, Flatwoods, KY 41139-2503 |
| Angela Michelle Nelson | Nurse Practitioner | Ashland Hospital Corporation | 105 St Hwy 1947a, Grayson, KY 41143 |
| Cherri Lynn Sewell | Nurse Practitioner | Ashland Hospital Corporation | 384 County Rd 120 So, South Point, OH 45680-7807 |
| Clayton Victor Bowman | Family Practice | Ashland Hospital Corporation | 825 E Tom T Hall Blvd, Olive Hill, KY 41164-6768 |
| Matthew Allan Hensley | Nurse Practitioner | Ashland Hospital Corporation | 2245 Winchester Ave, Ashland, KY 41101-7848 |
| Carol H Cooper | Dermatology | Ashland Hospital Corporation | 1109 Bellefonte Rd, Flatwoods, KY 41139-2503 |
| Street Address |
391 W TOM T HALL BLVD |
| City | OLIVE HILL |
| State | KY |
| Zip | 41164-7688 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clarence F Lyons Jr. | Family Medicine | 775 E Topm T Hall Blvd, Olive Hall, KY 41164-0775 | |
| Amy J Conley | Family Medicine | St. Claire Medical Center Inc | 155 Bricklayer St, Olive Hill, KY 41164-1268 |
| Stacy Bond | Nurse Practitioner | St. Claire Medical Center Inc | 155 Bricklayer St, Olive Hill, KY 41164-1268 |
| Megan Alexandra Neace | Clinical Social Worker | St. Claire Medical Center Inc | 155 Bricklayer St, Olive Hill, KY 41164-1268 |
| Whitney D Thomas | Physician Assistant | St. Claire Medical Center Inc | 155 Bricklayer St, Olive Hill, KY 41164-1268 |
| Clayton Victor Bowman | Family Practice | Ashland Hospital Corporation | 825 E Tom T Hall Blvd, Olive Hill, KY 41164-6768 |
| Shannon Leigh Smith-stephens | Nurse Practitioner | 6902 B Grahn Rd, Olive Hill, KY 41164-8147 |
| City | OLIVE HILL |
| Zip Code | 41164 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OLIVE HILL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Katherine Leann Tackett.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.