Individual
DR. KRISTI KAY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
227 N SHIAWASSEE ST, CORUNNA, MI 48817-1437
(989) 743-3515
Mailing address
PO BOX 17, CORUNNA, MI 48817-0017
(989) 743-3515
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
KB007405
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350051626
RAILROAD MEDICARE
MI
01
—
950G850200
BCBSM
MI
Enumeration date
10/11/2006
Last updated
06/12/2015
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