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Individual

KIMBERLY M JACKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
ONE MERCY LANE, SUITE 201, HOT SPRINGS, AR 71913-6441
(501) 609-2229
(501) 321-4057
Mailing address
PO BOX 21850, HOT SPRINGS, AR 71903-1850
(501) 627-1800
(501) 627-1899

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ARE6415
AR
282N00000X
General Acute Care Hospital
390200000X
AR
282N00000X
General Acute Care Hospital
FL

Other

Enumeration date
08/27/2007
Last updated
08/12/2010
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