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Dr. Kyle Sebastian Jackson, DC
Chiropractor in Jacksonville, Florida
NPI 1669085718

Kyle Sebastian Jackson is a Chiropractor based in Jacksonville, FL. Kyle Sebastian Jackson practices in Jacksonville, FL and has the professional credentials of DC. The NPI Number for Kyle Sebastian Jackson is 1669085718 and holds a License No. CH13208 (Florida).

The current practice location address for Kyle Sebastian Jackson is 12620 Beach Blvd Ste 6, Jacksonville, FL and can be reached out via phone at 904-645-0777 and via fax at 904-645-3483.

Location: 12620 Beach Blvd Ste 6, Jacksonville, FL, 32246-7130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669085718
Provider Name
Kyle Sebastian Jackson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
12620 Beach Blvd Ste 6, Jacksonville, FL, 32246-7130
Phone Number
904-645-0777
Fax Number
904-645-3483
Provider Enumeration Date
08/28/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CH13208 01 FL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
12620 Beach Blvd Ste 6
City
Jacksonville
State
Florida
Zip
32246-7130
Phone Number
904-645-0777
Fax Number
904-645-3483
person
Provider Business Mailing Address Details
Address
12620 Beach Blvd Ste 6
City
Jacksonville
State
Florida
Zip
32246-7130
Phone Number
904-645-0777
Fax Number
904-645-3483
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH13208 (Florida)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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