Jackson, Kayla Lynn

Jackson, Kayla Lynn is an sole proprietor health care provider with primary practice located at 10965 West State Route 29 , Rosewood OH 43070. She recently has 4 registered licenses in different health care specialties including Transportation Services / Private Vehicle, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Nurse's Aide, Respite Care Facility / Respite Care. Nursing Service Related Providers / Homemaker is her primary health care specialty. Jackson, Kayla Lynn can be contacted via phone (937) 926-6420.

Contact Information

Primary practice address
10965 West State Route 29 Rosewood OH 43070
Phone: (937) 926-6420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Private Vehicle 347C00000X 0112400 Ohio
Nursing Service Related Providers / Homemaker 376J00000X 0112400 Ohio
Nursing Service Related Providers / Nurse's Aide 376K00000X 401084350510 Ohio
Respite Care Facility / Respite Care 385H00000X 0112400 Ohio

Profile Details

NPI number 1134518392
LBN Legal business name Jackson, Kayla Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2015
Last updated Jan 12th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134518392 NPPES
Ohio Other 401084350510 STATE TESTED NURSE AIDE
Ohio MEDICAID 0112400 STATE TESTED NURSE AIDE

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