Individual
KIMBERLY RAE WARD JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
703 VOLKER HL, BIRMINGHAM, AL 35294-0001
(205) 934-5038
Mailing address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 934-1342
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27163
AL
Other
Enumeration date
05/16/2007
Last updated
08/12/2011
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