Kelly Jackson, PA-C

NPI #1619457926 in Garfield Heights, Ohio

Provider Information

NPI Number
1619457926
Entity Type
Individual
Name
Kelly Jackson, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Aug 16, 2018
Last Updated
Aug 16, 2018

Practice Location

Address
12300 MCCRACKEN RD
State
Ohio
ZIP Code
44125-2975
Phone
(412) 512-0798

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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