Individual
MS. KIMAYA JELKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1869 45 HWY BYPASS, SUITE 2B, JACKSON, TN 38305
(731) 616-3374
Mailing address
301 HALL RD, JACKSON, TN 38301-9552
(731) 616-3374
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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