DR. KEVIN WAYNE KACKLEY DVM
NPI 1891260931
Prevention Professional in Mt Sterling, IL

Q: What is Kevin Kackley's NPI number?

The NPI number for Kevin Kackley is 1891260931. It was assigned to this individual provider in the NPPES registry on October 4, 2018.

Q: What is Kevin Kackley's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Kackley was last updated on October 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 04, 2018

897 850E ST, MT STERLING, IL 62353(217) 773-3366(217) 773-4646 Get Directions Write a Review

NPPES record last updated: October 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kevin Wayne Kackley Dvm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN WAYNE KACKLEY DVM (NPI 1891260931) is an individual prevention professional provider in Mt Sterling, Illinois, licensed in Illinois (090-005298) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1891260931

Entity TypeIndividualMale

Primary Taxonomy405300000X

Provider Legal NameDR. KEVIN WAYNE KACKLEYCredential: DVM

Location Address897 850E STMt Sterling, IL 62353-1798

Mailing AddressPo Box 228Mt Sterling, IL 62353-0228 · (217) 773-3366 · Fax (217) 773-4646

Phone(217) 773-3366

Fax(217) 773-4646

Sole ProprietorYes

Enumeration DateOctober 4, 2018

✔ NPI 1891260931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrevention ProfessionalOther Service Providers

Taxonomy Code405300000X

License✔ Licensed in IL · 090-005298

Definition

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

897 850E ST, Mt Sterling, IL 62353

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Kackley's NPI number?

The NPI number for Kevin Kackley is 1891260931. It was assigned to this individual provider in the NPPES registry on October 4, 2018.

Where is Kevin Kackley located?

Kevin Kackley practices at 897 850E St, Mt Sterling, IL 62353. The listed phone number is (217) 773-3366.

What is Kevin Kackley's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for Kevin Kackley was last updated on October 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.