MR. RICHARD JACKSON, HS
Technician, Other
Active
Individual
NPI: 1952386690
Practice Address
KAEHLER MEMORIAL MEDICAL CLINICUS COAST GUARD
Otis Angb, MA 02542
Phone: (508) 968-6713
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Emergency Medical Technician, Basic | 146N00000X | No | B0415118 (CA) |
| Technician, Other | 247200000X | Yes | - |
Frequently Asked Questions
NPI 1952386690 is the National Provider Identifier for MR. RICHARD JACKSON, HS, a Technician, Other provider located in Otis Angb, MA. This NPI was enumerated on December 14, 2005.
MR. RICHARD JACKSON, HS practices at KAEHLER MEMORIAL MEDICAL CLINIC, US COAST GUARD, Otis Angb, MA 02542.
Quick Facts
- NPI
- 1952386690
- Type
- Individual
- Enumerated
- Dec 14, 2005
- Last Updated
- Sep 11, 2025