DR. Kelci Lee Jackson, AU.D.

NPI #1477934081 in Minot, North Dakota

Provider Information

NPI Number: 1477934081
Entity Type: Individual
Name: DR. Kelci Lee Jackson, AU.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Credential: AU.D.
Enumeration Date: Jun 10, 2015
Last Updated: Nov 13, 2015

Practice Location

Address: 1400 37TH AVE SW
City: Minot
State: North Dakota
ZIP Code: 58701-7339
Phone: (701) 852-6565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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