Jackson, Kyndra Ashanta

Jackson, Kyndra Ashanta is an individual health care provider with primary practice located at 4301 Mow-Way Road Reynolds Ach (Attn: Mcua-Qc, Ms. Prescott), Fort Sill OK 73503-6300. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Jackson, Kyndra Ashanta can be contacted via phone (580) 458-2134.

Contact Information

Primary practice address
4301 Mow-Way Road Reynolds Ach (Attn: Mcua-Qc, Ms. Prescott) Fort Sill OK 73503-6300
Phone: (580) 458-2134
Fax: (580) 458-2314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X R153354 Maryland

Profile Details

NPI number 1790880011
LBN Legal business name Jackson, Kyndra Ashanta
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Jul 8th, 2007 - about 19 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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