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Kathleen Jackson

NPI 1508015421 · on the registry since 2008

Practice

Address
188 Lovering Ave
Buffalo, NY 14216
Phone
(716) 578-1826

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York