Individual
KELLY ANNETTE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 TINKER DIAGONAL, DEL CITY, OK 73115-1017
(405) 833-1013
Mailing address
15112 CORAL CREEK LN, OKLAHOMA CITY, OK 73165-9764
(405) 802-1051
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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