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

Kimberly Tackett

Individual provider Home Health Agency · NPI 1063014025

Kimberly Tackett is a Home Health Agency in Lucasville, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2020
Specialties on file
2

Practice location Address checks out

636 Houston Hollow Candy Run Rd
Lucasville, OH 45648-8423
Phone: (740) 961-5702
Show map & directions

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

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X · Licence 0000274977 (OH)
Home Health Agency Taxonomy 251E00000X (OH)

Record details

NPI number1063014025
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 13, 2020
Last updated in NPPESNovember 13, 2020
Certification dateNovember 13, 2020
Mailing address636 Houston Hollow Candy Run Rd, Lucasville, OH 45648-8423

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