Jackson, Kammie
Jackson, Kammie is an sole proprietor health care provider with primary practice located at 300 Thomas Moore Rd , Madisonville KY 42431-9564. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Jackson, Kammie can be contacted via phone (270) 821-4688.Contact Information
Primary practice address
300 Thomas Moore Rd
Madisonville KY 42431-9564
Phone: (270) 821-4688
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | Kentucky | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | Kentucky |
Profile Details
| NPI number | 1841476595 |
|---|---|
| LBN Legal business name | Jackson, Kammie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2008 |
| Last updated | Mar 25th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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