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NPI Profile for KINSEY L JACKSON in COLUMBUS, OH.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Blind |
2255R0406X |
| NPI Number | 1760197040 |
|
| Status | Active | |
| Credentials | COMS | |
| Entity | Individual | |
| Enumeration date | 01/20/2023 | |
| Last updated | 01/20/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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KINSEY L JACKSON
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KINSEY L JACKSON, COMS