Individual
KIMBERLY DENISE JACKSON-LACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12011 BROOKWAY DR, CINCINNATI, OH 45240-1465
(513) 703-8834
Mailing address
12011 BROOKWAY DR, CINCINNATI, OH 45240-1465
(513) 703-8834
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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