Kevin Jackson
NPI #1992932404 in Chillicothe, Ohio
Provider Information
- NPI Number
- 1992932404
- Entity Type
- Individual
- Name
- Kevin Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Jun 11, 2009
- Last Updated
- Jun 11, 2009
Practice Location
- Address
- 17273 STATE ROUTE 104
- City
- Chillicothe
- State
- Ohio
- ZIP Code
- 45601-9718
- Phone
- (740) 773-1141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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