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

Richard Thomas Jackson, CSFA

Individual provider Surgical Assistant · NPI 1255203469

Richard Thomas Jackson, CSFA is a Surgical Assistant in Elizabethtown, Kentucky. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone: (270) 706-1380
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X

Record details

NPI number1255203469
Entity typeIndividual (Type 1)
GenderMale
Credentials CSFA
Sole proprietorNo
NPI enumeratedSeptember 18, 2025
Last updated in NPPESOctober 24, 2025
Certification dateSeptember 18, 2025
Mailing address365 Loretto Dr # Dt, Elizabethtown, KY 42701-4715

Other providers in Elizabethtown