Search › Kentucky › 101YS0200X
Patrick Jackson
NPI 1871141457 · on the registry since 2019
Practice
- Address
- 5111 S 3rd St
Louisville, KY 40214 - Phone
- (502) 690-1511
Registry record
- Primary taxonomy
- 101YS0200X
101YS0200X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-28
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