Jackson, Kathleen Marie

Jackson, Kathleen Marie is an individual health care provider with primary practice located at 701 Grove Rd Fl 1 , Greenville SC 29605-4210. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Jackson, Kathleen Marie can be contacted via phone (864) 455-7899.

Contact Information

Primary practice address
701 Grove Rd Fl 1 Greenville SC 29605-4210
Phone: (864) 455-7899
Fax: (864) 455-5474
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 84014 South Carolina
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 84014 South Carolina

Profile Details

NPI number 1801323993
LBN Legal business name Jackson, Kathleen Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2017
Last updated Jul 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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