Kevin Wayne Kackley, DVM
Prevention Professional · Mt Sterling, IL
Practice location
897 850e StMt Sterling, IL 62353-1798
- Phone
- (217) 773-3366
- Fax
- (217) 773-4646
NPI record
- NPI
- 1891260931
- Entity type
- Individual (Type 1)
- Enumeration date
- October 4, 2018
- Last updated
- October 4, 2018
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Prevention Professional Primary | 405300000X |
090-005298 | IL |
Mailing address
PO Box 228Mt Sterling, IL 62353-0228
- Phone
- (217) 773-3366
- Fax
- (217) 773-4646
About Dr. Kackley
Kevin Wayne Kackley, DVM is a healthcare provider registered in the NPI registry with the primary taxonomy Prevention Professional (code 405300000X). The practice location is 897 850e St, Mt Sterling, IL 62353-1798. The NPI number 1891260931 was assigned on October 4, 2018 and the record was last updated on October 4, 2018.
Dr. Kackley lists a license in the registry: #090-005298 (IL) for Prevention Professional. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kevin Wayne Kackley, DVM?
The NPI number is 1891260931.
What is the phone number of Dr. Kackley?
The phone number listed for the practice location is (217) 773-3366.
Where is Dr. Kackley located?
897 850e St, Mt Sterling, IL 62353-1798.
What is the taxonomy code for Dr. Kackley?
The primary taxonomy code is 405300000X – Prevention Professional.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.