KELLI JACKSON
Optometrist
Active
Organization
NPI: 1619092574
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 1566 (TN) |
Frequently Asked Questions
NPI 1619092574 is the National Provider Identifier for KELLI JACKSON, a Optometrist provider located in Cleveland, TN. This NPI was enumerated on March 20, 2007.
Quick Facts
- NPI
- 1619092574
- Type
- Organization
- Enumerated
- Mar 20, 2007
- Last Updated
- Jul 3, 2008
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