SearchKentucky222Q00000X

Kammie Jackson

NPI 1841476595 · on the registry since 2008 · sole proprietor

Practice

Address
300 Thomas Moore Rd
Madisonville, KY 42431
Phone
(270) 821-4688

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Also registered as
174400000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-25

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 Kentucky