Kelly Jackson
NPI #1366029712 in Craigsville, West Virginia
Provider Information
- NPI Number
- 1366029712
- Entity Type
- Individual
- Name
- Kelly Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Mar 24, 2021
- Last Updated
- Mar 24, 2021
Practice Location
- Address
- 65 WELL RD
- City
- Craigsville
- State
- West Virginia
- ZIP Code
- 26205
- Phone
- (304) 651-1728
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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