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

Mr. Kyle Raymond Jackson

Individual provider Case Manager/Care Coordinator · NPI 1780329896

Mr. Kyle Raymond Jackson is a Case Manager/Care Coordinator in Moraine, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2022
Specialties on file
2

Practice location Address checks out

3095 Kettering Blvd
Moraine, OH 45439-1983
Phone: (937) 293-8300
Show map & directions

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

Additional practice locations (1)

  • 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 — (937) 775-3458

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1780329896
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 3, 2022
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address3640 Colonel Glenn Hwy, 117 Health Sciences Building, Dayton, OH 45435-0001

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