SearchNew York164W00000X

Kelley Jackson, LPN

NPI 1538586755 · on the registry since 2014 · sole proprietor

Practice

Address
32 Ericson Ave
Buffalo, NY 14215
Phone
(480) 233-0850

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
2014-03-26

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