IndividualActive
Kealah Jackson
NPI 1821885229 · Driver · Oklahoma City, OK
Provider details
- NPI number
- 1821885229
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- A088146885 (OK)
Specialties & taxonomies
Other Service Providers
Practice location
4016 Se 48th St
Oklahoma City, OK 73135-2202
Phone: (405) 931-8552
Approximate (ZIP-level) locationGet directions
Mailing address
416 W 15th St Ste 600
Edmond, OK 73013-3672
Registry dates
- Enumerated
- 2025-04-21
- Last updated
- 2025-04-21
- Certified
- 2025-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.