Search › Oklahoma › 172A00000X
Kealah Jackson
NPI 1821885229 · on the registry since 2025
Practice
- Address
- 4016 Se 48th St
Oklahoma City, OK 73135 - Phone
- (405) 931-8552
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-21
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 Oklahoma