Tackett, Russell E

Tackett, Russell E is an sole proprietor health care provider with primary practice located at 6400 Prospect Ave Suite440, Kansas City MO 64132-1100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Tackett, Russell E can be contacted via phone (816) 361-0277.

Contact Information

Primary practice address
6400 Prospect Ave Suite440 Kansas City MO 64132-1100
Phone: (816) 361-0277
Fax: (916) 361-4733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X R6B18 Missouri

Profile Details

NPI number 1821172768
LBN Legal business name Tackett, Russell E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Sep 7th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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