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Kealah Jackson — NPI 1821885229, Oklahoma City, OK | NPI Central

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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

DriverPrimary172A00000XLicense A088146885 (OK)
Other Service Providers

Practice location

4016 Se 48th St

Oklahoma City, OK 73135-2202

Phone: (405) 931-8552

Approximate (ZIP-level) locationGet directions

More OK providers

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.