Kennedi D Jackson
Kennedi D Jackson is a Student in an Organized Health Care Education/Training Program in Joliet, Illinois. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
3600 Brittany DrJoliet, IL 60435-8747
Phone: (815) 919-1348
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1598408387 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 19, 2022 |
| Last updated in NPPES | April 19, 2022 |
| Certification date | April 19, 2022 |
| Mailing address | 3600 Brittany Dr, Joliet, IL 60435-8747 |
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