DR. Keith Jackson, PHD
NPI #1407491673 in Montgomery, Alabama
Provider Information
- NPI Number
- 1407491673
- Entity Type
- Individual
- Name
- DR. Keith Jackson, PHD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Home Health
- Credential
- PHD
- Enumeration Date
- Nov 12, 2019
- Last Updated
- Dec 18, 2019
Practice Location
- Address
- 2934 PELZER AVE
- City
- Montgomery
- State
- Alabama
- ZIP Code
- 36109-2147
- Phone
- (334) 354-4651
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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