Individual
KAYLA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
212 THOMPSON POYNTER RD, LONDON, KY 40741-7238
(606) 330-0223
Mailing address
212 THOMPSON POYNTER RD, LONDON, KY 40741-7238
(606) 330-0223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
142538
KY
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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