Search › Ohio › Student in an Organized Health Care Education/Training Program
Kyle Jackson
NPI 1780329896 · on the registry since 2022
Practice
- Address
- 3095 Kettering Blvd
Moraine, OH 45439 - Phone
- (937) 293-8300
- Organisation at this address
- South Community
South Community Inc
South Community Inc
South Community Inc.
Genoa Healthcare LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 544
Additional practice sites
- 3640 Colonel Glenn Hwy, Dayton, OH
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Also registered as
- Case Manager/Care Coordinator
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-19
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 Ohio