Lookup NPI Numbers from the NPI Registry
NPI Profile for KAYLA A JACK in SHIPROCK, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
1041S0200X |
| NPI Number | 1093498578 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/10/2023 | |
| Last updated | 09/08/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KAYLA A JACK
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KAYLA A JACK