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

Kira Jackson

Individual provider Prosthetic/Orthotic Supplier · NPI 1407533532

Kira Jackson is a Prosthetic/Orthotic Supplier in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2023
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Practice location Address checks out

1055 Howell Mill Rd Ste 8082 Pmb 1050
Atlanta, GA 30318
Phone: (478) 336-6169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X (GA)

Record details

NPI number1407533532
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 30, 2023
Last updated in NPPESJune 30, 2023
Certification dateJune 30, 2023

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