Kylee Jackson, MED, ATC, LAT

NPI #1508360595 in Moore, Oklahoma

Provider Information

NPI Number
1508360595
Entity Type
Individual
Name
Kylee Jackson, MED, ATC, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MED, ATC, LAT
Enumeration Date
Mar 22, 2018
Last Updated
Mar 22, 2018

Practice Location

Address
300 N EASTERN AVE
City
Moore
ZIP Code
73160-6999
Phone
(405) 735-4700

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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