Individual provider · Type 1 NPI

Kenneth Lee Jackson

Non-emergency Medical Transport (VAN) · Lake Charles, LA

NPI number 1154058162 Active

Practice location

1216 Oklahoma St
Lake Charles, LA 70607-3624

Call (337) 414-0914 Map

Specialties and licenses

TaxonomyCodeLicense
Non-emergency Medical Transport (VAN) Primary 343900000XNone listed

Non-emergency Medical Transport (VAN): A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

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About NPI 1154058162

Kenneth Lee Jackson's National Provider Identifier is 1154058162, issued on Aug 1, 2022. The primary taxonomy on file is Non-emergency Medical Transport (VAN) (343900000X), and the practice location is in Lake Charles, LA. The record was last updated on Aug 1, 2022.