Richard Thomas Jackson, CSFA
NPI #1255203469 in Elizabethtown, Kentucky
Provider Information
- NPI Number
- 1255203469
- Entity Type
- Individual
- Name
- Richard Thomas Jackson, CSFA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Other - Surgical Assistant
- Credential
- CSFA
- Enumeration Date
- Sep 18, 2025
- Last Updated
- Oct 24, 2025
Practice Location
- Address
- 913 N DIXIE AVE
- City
- Elizabethtown
- State
- Kentucky
- ZIP Code
- 42701-2503
- Phone
- (270) 706-1380
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
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