Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Russell E Tackett Mdpc

Organization Urology Physician · NPI 1043359722

Russell E Tackett Mdpc is an Urology Physician in Kansas City, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007

Practice location Address checks out

6400 Prospect Ave Ste 440
Kansas City, MO 64132-1100
Phone: (816) 361-0277
Fax: (816) 361-4733
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence R6B18 (MO)

Record details

NPI number1043359722
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Tackett — President · (816) 361-0277
NPI enumeratedFebruary 6, 2007
Last updated in NPPESSeptember 7, 2007
Mailing address6400 Prospect Ave, Suite 440, Kansas City, MO 64132-1100

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