J Kelsey Jackson, PA -C

NPI #1861485773 in Pasco, Washington

Provider Information

NPI Number
1861485773
Entity Type
Individual
Name
J Kelsey Jackson, PA -C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA -C
Enumeration Date
Aug 25, 2005
Last Updated
Nov 14, 2007

Practice Location

Address
520 N 4TH AVE
Address 2
PULMONARY SVCS
City
Pasco
ZIP Code
99301-5257
Phone
(509) 544-6140

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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