Search › Louisiana › 171M00000X
Kermit Jackson
NPI 1568827228 · on the registry since 2015
Practice
- Address
- 862 Oneal Ln
Baton Rouge, LA 70816 - Phone
- (225) 362-4539
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YM0800X
- Sex
- Male
- Record last updated
- 2018-07-03
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 Louisiana