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Individual

MRS. KELSEY A JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-9999
Mailing address
3600 30TH ST, DES MOINES, IA 50310-5753
(556) 699-9999
(515) 699-5982

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary

Other

Enumeration date
08/07/2026
Last updated
08/07/2026
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