person
Mr. Kenneth Lee Jackson
Non-emergency Medical Transport (VAN) in Lake Charles, Louisiana
NPI 1154058162

Kenneth Lee Jackson is a Non-emergency Medical Transport (VAN) based in Lake Charles, LA. Kenneth Lee Jackson practices in Lake Charles, LA. The NPI Number for Kenneth Lee Jackson is 1154058162 and holds a License No. (Louisiana).

The current practice location address for Kenneth Lee Jackson is 1216 Oklahoma St, Lake Charles, LA and can be reached out via phone at 337-414-0914.

Location: 1216 Oklahoma St, Lake Charles, LA, 70607-3624
person
Provider Profile Details
NPI Number
1154058162
Provider Name
Kenneth Lee Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1216 Oklahoma St, Lake Charles, LA, 70607-3624
Phone Number
337-414-0914
Fax Number
Provider Enumeration Date
08/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1216 Oklahoma St
City
State
Zip
70607-3624
Phone Number
337-414-0914
Fax Number
person
Provider Business Mailing Address Details
Address
1216 Oklahoma St
City
State
Zip
70607-3624
Phone Number
337-414-0914
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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