Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kammie Jackson

Individual provider Specialist · NPI 1841476595

Kammie Jackson is a Specialist in Madisonville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2008
Specialties on file
2

Practice location Address checks out

300 Thomas Moore Rd
Madisonville, KY 42431-9564
Phone: (270) 821-4688
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X (KY)
Specialist Taxonomy 174400000X (KY)

Record details

NPI number1841476595
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 11, 2008
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024
Mailing address300 Thomas Moore Rd, Madisonville, KY 42431-9564

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