Brian Jackson
Other Technician · Kennett, MO
NPI number
1659612364
Practice location
1109 Jones StKennett, MO 63857-3824
- Phone
- (573) 888-6545
- Fax
- (573) 888-2369
NPI record
- NPI
- 1659612364
- Entity type
- Individual (Type 1)
- Enumeration date
- March 5, 2013
- Last updated
- March 5, 2013
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Other Technician Primary | 247200000X |
— | — |
Mailing address
1109 Jones StPO Box 470
Kennett, MO 63857-3824
- Phone
- (573) 888-6545
- Fax
- (573) 888-2369
About Brian Jackson
Brian Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Other Technician (code 247200000X). The practice location is 1109 Jones St, Kennett, MO 63857-3824. The NPI number 1659612364 was assigned on March 5, 2013 and the record was last updated on March 5, 2013.
Frequently asked questions
What is the NPI number of Brian Jackson?
The NPI number is 1659612364.
What is the phone number of Brian Jackson?
The phone number listed for the practice location is (573) 888-6545.
Where is Brian Jackson located?
1109 Jones St, Kennett, MO 63857-3824.
What is the taxonomy code for Brian Jackson?
The primary taxonomy code is 247200000X – Other Technician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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