National Provider Identifier Database

KIMBERLY JACKSON, HAIR LOSS SPECIALIST – NPI #1710418355
Phlebotomy


Contact Information

KIMBERLY JACKSON, HAIR LOSS SPECIALIST
204 COIT RD STE 200
PLANO, TX75075-5718
Phone: 214-727-5725
Fax:
Website:
Specialty Taxonomy Code
* Phlebotomy 246RP1900X
Specialist/Technologist 225500000X

* Indicates primary specialty

NPI Profile & details for KIMBERLY JACKSON

NPI Number 1710418355
Credentials HAIR LOSS SPECIALIST
Entity Individual
Enumeration date 03/24/2017
Last updated 02/16/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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