Individual
DR. KIMBERLY JACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
5565 BLAINE AVE STE 225, INVER GROVE HEIGHTS, MN 55076-1239
(404) 297-4230
Mailing address
NORTHSIDE HOSPITAL MANAGED CARE DEPARTMENT, 1000 JOHNSON FERRY RD NE, ATLATNA, GA 30342-3034
(404) 851-8097
(404) 250-8010
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
10161
MN
231H00000X
Audiologist
AUD004099
GA
Other
Enumeration date
07/02/2017
Last updated
01/31/2022
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