Kristin Thacker, is a
Behavior Technician based in Pikeville, Kentucky. Kristin Thacker is licensed to practice in * (Not Available) (license number ) and her current practice location is
131 Summit Dr Ste 402, Pikeville, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(606) 430-2256.
NPI number for Kristin Thacker is 1427591916 and her current mailing address is 131 Summit Dr Ste 402, Pikeville, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427591916.
Healthcare Provider's Profile
| Full Name | Kristin Thacker |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 131 Summit Dr Ste 402, Pikeville, Kentucky |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1427591916
- Provider Enumeration Date: 12/01/2016
- Last Update Date: 03/28/2023
Medical Identifiers
Medical identifiers for Kristin Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427591916 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristin Thacker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kristin Thacker,
131 Summit Dr Ste 402,
Pikeville, KY 41501-1580
Ph: (606) 430-2256 | Kristin Thacker,
131 Summit Dr Ste 402,
Pikeville, KY 41501-1580
Ph: (606) 430-2256 |
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