KEVIN TACKETT (NPI# 1992245880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992245880 |
| Entity Type | Individual |
| Full Name | KEVIN TACKETT |
| Credential | D.C. |
| Practice Address |
4165 Monroe St Ste A Toledo OH 43606-2038 |
| Practice Telephone | 4197541100 |
| Practice Fax Number | 4197541103 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2877 | OH | Chiropractic Providers |
| Street Address |
4165 MONROE ST STE A |
| City | TOLEDO |
| State | OH |
| Zip Code | 43606-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172359 | Hebah Al Absi | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr. Conrad Jobst Tower, Floor E, Toledo, OH 43606 | 2020-07-28 |
| 1487278594 | Daniel Mark Barnett | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-06-04 |
| 1215565908 | Zara Hussain | Student in an Organized Health Care Education/Training Program | 2109 Hughes Drive., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-03-30 |
| 1821634643 | Shawn Tompkins Jr. | Case Manager/Care Coordinator | 3450 Central, Sutiee 366 E, Toledo, OH 43606 | 2019-11-27 |
| 1972065811 | Toledo Behavior Therapy LLC | Psychologist | 2801 W. Bancroft St., Mail Stop 948 Uh5280, Toledo, OH 43606 | 2019-04-01 |
| 1710469135 | Kari Oberlin | Social Worker | 3903 Woodley Rd Suite 300, Toledo, OH 43606 | 2018-09-01 |
| 1750877759 | Maria Rabbani | Student in an Organized Health Care Education/Training Program | Neuroscience Center, 2130 West Central Ave, Toledo, OH 43606 | 2018-07-03 |
| 1770075350 | Kelly Ann Mcclure | Student in an Organized Health Care Education/Training Program | The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-05-31 |
| 1790289874 | Sohaib Muhammad Lateef | Student in an Organized Health Care Education/Training Program | 2130 West Central Ave, Toledo, OH 43606 | 2018-03-22 |
| 1063916427 | Oxana Zarudskaya | Student in an Organized Health Care Education/Training Program | Ut Dept Ob/gyn The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-03-21 |
| Find all providers in zip 43606 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568089779 | Harry John Dermanelian II | Chiropractor | 3504 Secor Rd Ste 325, Toledo, OH 43606-1545 | 2020-07-03 |
| 1740772888 | Anthony Dumas | Chiropractor | 723 Phillips Ave Bldg C, Toledo, OH 43612-1351 | 2018-06-05 |
| 1467950212 | Inner Health Chiropractic North, LLC | Chiropractor | 3450 West Central Ave, Suite 136, Inner Health Chiropractic, Toledo, OH 43606 | 2018-01-26 |
| 1497207658 | Body Resort, LLC | Chiropractor | 1616 Lawrence Ave Ste B, Toledo, OH 43607-2068 | 2016-11-03 |
| 1689128068 | Hampton Chiropractic, LLC | Chiropractor | 4253 Monroe St, Toledo, OH 43606-1943 | 2016-08-15 |
| 1538613385 | Marcel Hampton | Chiropractor | 1616 Lawrence Ave Ste Ab, Toledo, OH 43607-2067 | 2016-08-10 |
| 1932567526 | Marissa L Fields | Chiropractor | 44005 Talmadge Road, Toledo, OH 43623-3506 | 2016-02-10 |
| 1659782563 | Fallen Timber Spine & Rehab LLC | Chiropractor | 3130 W Central Ave Unit 23, Toledo, OH 43606-2959 | 2014-05-13 |
| 1386075414 | Toledo Holistic Healthcare LLC | Chiropractor | 2828 W Central Ave, Suite 1, Toledo, OH 43606-3078 | 2013-11-27 |
| 1316287741 | Procare Accident & Injury Center Inc | Chiropractor | 3034 Monroe St, Toledo, OH 43606-4602 | 2013-02-21 |
| Find all providers in TOLEDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.