NPI 1659743029
Kenneth Jackson
Practice location
- Address
- 1216 Oklahoma St, Lake Charles, LA 70607-3624
- Phone
- (337) 419-8236
Authorised official
- Name
- Kenneth Lee Jackson
- Title
- Sole Proprietor
- Phone
- (337) 419-8326
Registered specialties
Taxi
Primary
Registry record
- NPI
- 1659743029
- Entity type
- Organization
- NPI issued
- 26 Oct 2015
- Record last updated
- 26 Oct 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.