NPI 1043359722

Russell E Tackett Mdpc

Organisation Urology Physician Kansas City, MO

Practice location

Address: 6400 Prospect Ave Suite 440, Kansas City, MO 64132-1100
Phone: (816) 361-0277
Fax: (816) 361-4733

Authorised official

Name: Russell Edward Tackett
Title: President
Phone: (816) 361-0277

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence R6B18 (MO)

Other Urology providers in Missouri →

Registry record

NPI: 1043359722
Entity type: Organization
NPI issued: 6 Feb 2007
Record last updated: 7 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.