Individual
DR. KIMBERLY SUZANNE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4825 ANN ARBOR SALINE RD, ANN ARBOR, MI 48103-9782
(734) 930-6990
(734) 327-1050
Mailing address
4825 ANN ARBOR SALINE RD, ANN ARBOR, MI 48103-9782
(734) 930-6990
(734) 327-1050
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005827
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950H150320
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/07/2006
Last updated
01/16/2014
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