Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH KARL JACKSON, RRT
Active Sole ProprietorMR. KENNETH KARL JACKSON, RRT is a Respiratory Therapist, Registered healthcare provider located in PINEVILLE, Louisiana. NPI 1164230694 is currently active in the NPPES registry. Verify at CMS.
Respiratory Therapist, Registered · PINEVILLE, LA
Registration Details
- NPI Number
- 1164230694
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 30, 2024 (1.5906913191917 yrs)
- Last Updated
- Dec 30, 2024
- License
-
CRT200406 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2495 SHREVEPORT HWY # 71PINEVILLE, LA, 713604044Browse LA providers · Browse ZIP 71360
- Phone
- 3184662396
- Primary Specialty
-
Respiratory Therapist, Registered
227900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.