KEALAH JACKSON
Driver
Active
Individual
NPI: 1821885229
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Driver | 172A00000X | Yes | A088146885 (OK) |
Frequently Asked Questions
NPI 1821885229 is the National Provider Identifier for KEALAH JACKSON, a Driver provider located in Oklahoma City, OK. This NPI was enumerated on April 21, 2025.
KEALAH JACKSON practices at 4016 SE 48TH ST, Oklahoma City, OK 73135.
Quick Facts
- NPI
- 1821885229
- Type
- Individual
- Enumerated
- Apr 21, 2025
- Last Updated
- Apr 21, 2025
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