IndividualActive
Gary Hackett, PA-C
NPI 1003081258 · Surgical Physician Assistant · Crestview Hills, KY
Provider details
- NPI number
- 1003081258
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA1110 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2845 Chancellor Dr
Crestview Hills, KY 41017-3418
Phone: (859) 426-4200
Fax: (859) 426-4206
Approximate (ZIP-level) locationGet directions
Mailing address
560 S Loop Rd
Edgewood, KY 41017-3405
Registry dates
- Enumerated
- 2008-04-29
- Last updated
- 2014-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.