Individual provider · Type 1 NPI

Richard Thomas Jackson, CSFA

Surgical Assistant · Elizabethtown, KY

NPI number 1255203469 Active

Practice location

913 N Dixie Ave
Elizabethtown, KY 42701-2503

Call (270) 706-1380 Map

Mailing address

365 Loretto Dr # Dt
Elizabethtown, KY 42701-4715

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant Primary 246ZC0007XNone listed

Surgical Assistant: A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in h…

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About NPI 1255203469

Richard Thomas Jackson, CSFA's National Provider Identifier is 1255203469, issued on Sep 18, 2025. The primary taxonomy on file is Surgical Assistant (246ZC0007X), and the practice location is in Elizabethtown, KY. The record was last updated on Oct 24, 2025.