NPI 1164230694

Kenneth Karl Jackson, RRT

Practitioner Registered Respiratory Therapist Pineville, LA

Practice location

Address: 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044
Phone: (318) 466-2396
Mailing address: 5503 Hall St, Alexandria, LA 71303-3918

Registered specialties

Registered Respiratory Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 227900000X Licence CRT200406 (LA)

Other Respiratory Therapist, Registered providers in Louisiana →

Registry record

NPI: 1164230694
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Dec 2024
Record last updated: 30 Dec 2024

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.