Individual
DR. KELCI LEE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1400 37TH AVE SW, MINOT, ND 58701-7339
(701) 852-6565
Mailing address
1400 37TH AVE SW, MINOT, ND 58701-7339
(701) 852-6565
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1428
ND
Other
Enumeration date
06/10/2015
Last updated
11/13/2015
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