# EDEN HOLISTIC MEDICINE AND WELLNESS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447578117
- **Authorized official:** DR. KIMBERLEY E JACKSON D.O. (PRESIDENT)
- **Authorized official phone:** (610) 833-8739

## Contact information

- **Practice address:** 412 E KING ST, MALVERN, PA 19355-3004
- **Practice address phone:** (610) 833-8739
- **Practice address fax:** (610) 647-8921
- **Mailing address:** 412 E KING ST, MALVERN, PA 19355-3004
- **Mailing address phone:** (610) 833-8739
- **Mailing address fax:** (610) 647-8921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | OS014960 | PA | Yes |

## Other

- **Enumeration date:** 05/05/2010
- **Last updated:** 05/05/2010