KENNETH JACKSON

Non-emergency Medical Transport (VAN)

NPI: 1154058162Individual

Specialties, Licenses & Credentials

Non-emergency Medical Transport (VAN)Primary

Non-emergency Medical Transport (VAN)

Code: 343900000X

Contact & Hours

Address: 1216 OKLAHOMA ST
LAKE CHARLES, LA 70607
Phone: (337) 414-0914

Location

Practice Location

1216 OKLAHOMA ST, LAKE CHARLES, LA

Quick Facts

NPI: 1154058162
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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