IndividualActive
Reva Tackett, MD
NPI 1215916044 · Gynecology Physician · Lexington, KY
Provider details
- NPI number
- 1215916044
- Entity type
- Individual
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 20064 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1720 Nicholasville Rd Ste 702
Lexington, KY 40503-1489
Phone: (859) 264-8811
Fax: (859) 264-8822
Approximate (ZIP-level) locationGet directions
Mailing address
1720 Nicholasville Rd Ste 702
Lexington, KY 40503-1489
Registry dates
- Enumerated
- 2006-01-11
- Last updated
- 2022-02-03
- Certified
- 2022-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.