Kimberly Jackson

NPI 1811449275 · on the registry since 2016

Practice

Address: 11960 Westline Industrial Dr
Ste 201
Saint Louis, MO 63146
Phone: (866) 433-9555
Organisation at this address: Supplemental Health Care
Supplemental Health Care
Moments Hospice Of St Louis Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 141

Registry record

Primary taxonomy: 101YS0200X
101YS0200X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-11-01

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 Missouri