NPI 1447960398

Kahlir Dabril Jackson

Practitioner Private Vehicle Philadelphia, PA

Practice location

Address: 1425 S 52nd St, Philadelphia, PA 19143-5006
Phone: (267) 608-6335

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 31508228 (PA)

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Registry record

NPI: 1447960398
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2022
Record last updated: 1 Dec 2022

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.