Kenneth Marlon Jackson
Kenneth Marlon Jackson is a Driver in Baton Rouge, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2024
Practice location Address checks out
8630 Antioch RdBaton Rouge, LA 70817-6413
Phone: (504) 667-8133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence 002515859 (LA) |
|---|
Record details
| NPI number | 1902612740 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 6, 2024 |
| Last updated in NPPES | December 6, 2024 |
| Certification date | December 6, 2024 |
| Mailing address | 8630 Antioch Rd, Baton Rouge, LA 70817-6413 |
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