Individual
KIMBERLY A JACKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3127 41ST ST, ASTORIA, NY 11103-3901
(718) 721-6989
Mailing address
PO BOX 280, MILLTOWN, NJ 08850-0280
(800) 738-1659
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
186183-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02111686
—
NY
Enumeration date
06/23/2005
Last updated
09/05/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us