Individual provider · Type 1 NPI

Kathryn Vivian Jackson

Student in an Organized Health Care Education/Training Program · Denver, CO

NPI number 1235036773 Active

Practice location

3333 Regis Blvd
Denver, CO 80221-1154

Call (773) 954-5645 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XIN.0002010268 (CO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235036773

Kathryn Vivian Jackson's National Provider Identifier is 1235036773, issued on Oct 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Denver, CO. The record was last updated on Oct 20, 2026.