Kelly A Jackson is a Chiropractor in Natick, Massachusetts. Kelly A Jackson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kelly A Jackson is 1104986793. The last update date is 2021-10-20.
Kelly A Jackson's current location address is 190 North Main Street, Natick, Massachusetts. You can contact this provider via phone number 5086512646 and fax number 5086556650. The mailing address for Kelly A Jackson is 190 North Main Street, Natick, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly A Jackson |
|---|---|
| Address | 190 North Main Street, Natick, Massachusetts |
| Phone Number | 5086512646 |
| Fax Number | 5086556650 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1104986793 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2021-10-20 |
Provider Mailing Address Detail
| Address | 190 North Main Street |
|---|---|
| City | Natick |
| State | Massachusetts (MA) |
| Post Code | 1760 |
| Phone Number | 5086512646 |
| Fax Number | 5086556650 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1797 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Y36275 | MA | BCBS | |
| Y39303 | MA | GROUP # BCBS |
Post Comment/ Review Below
What is the Kelly A Jackson's 1104986793?
The Kelly A Jackson's NPI (National Provider Identifier) Number is 1104986793. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kelly A Jackson is located?
The Kelly A Jackson is situated at the following address: 190 North Main Street, Natick, MA, 1760.
What is the area of specialization for Kelly A Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kelly A Jackson is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104986793 to Kelly A Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1104986793 to Kelly A Jackson on 2006-12-12.
When was the information pertaining to Kelly A Jackson most recently updated or revised?
The details related to Kelly A Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2021-10-20.
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