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Mrs. Kathy L Jackson
Private Vehicle in Marshall, Illinois
NPI 1619283595

Kathy L Jackson is a Private Vehicle based in Marshall, IL. Kathy L Jackson practices in Marshall, IL. The NPI Number for Kathy L Jackson is 1619283595 and holds a License No. J250-5125-9895 (Illinois).

The current practice location address for Kathy L Jackson is 15685 N Iron Bridge Rd, Marshall, IL and can be reached out via phone at 812-241-6704.

Location: 15685 N Iron Bridge Rd, Marshall, IL, 62441-4663
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619283595
Provider Name
Kathy L Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
15685 N Iron Bridge Rd, Marshall, IL, 62441-4663
Phone Number
812-241-6704
Fax Number
Provider Enumeration Date
08/30/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15685 N Iron Bridge Rd
City
Marshall
State
Illinois
Zip
62441-4663
Phone Number
812-241-6704
Fax Number
person
Provider Business Mailing Address Details
Address
15685 N Iron Bridge Rd
City
Marshall
State
Illinois
Zip
62441-4663
Phone Number
812-241-6704
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
J250-5125-9895 (Illinois)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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