Individual
KAELA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
104 SOMERSLY PL, LEXINGTON, KY 40515-5717
(502) 526-1560
Mailing address
104 SOMERSLY PL, LEXINGTON, KY 40515-5717
(502) 526-1560
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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