| Bethany L Tackett, | |
|
283 Goble St, Prestonsburg, KY 41653-7967 | |
| (606) 886-2788 | |
| (606) 886-7989 |
| Full Name | Bethany L Tackett |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 283 Goble St, Prestonsburg, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316393242 | NPI | - | NPPES |
| 20036018 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86009317 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany L Tackett, 283 Goble St, Prestonsburg, KY 41653-7967 Ph: (606) 886-2788 | Bethany L Tackett, 283 Goble St, Prestonsburg, KY 41653-7967 Ph: (606) 886-2788 |
Amy S Hyden, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5000 Ky Route 321, Prestonsburg, KY 41653 Phone: 606-889-3168 | |
Cynthia Sue Scott, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5000 Ky Route 321, Prestonsburg, KY 41653 Phone: 606-886-8511 Fax: 606-886-7795 | |
Cheryl Younce, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 283 Goble St, Prestonsburg, KY 41653 Phone: 606-886-2788 Fax: 606-886-7989 | |
Christina Marie Tincher, Dietitian Medicare: Medicare Enrolled Practice Location: 283 Goble St, Prestonsburg, KY 41653 Phone: 606-886-2788 Fax: 606-886-7989 | |
Rebecca Jean Lyons, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3394 Ky Route 3385, Prestonsburg, KY 41653 Phone: 606-434-6436 |