KELLY ELAINE JACKSON

LOUISVILLE, KY
NPI1427047380
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy170300000X Genetic Counselor, MS
(Licence: KY  GC008)
Enumeration Date2005-10-13
Last Update Date2022-05-24
Business Address
Miss KELLY ELAINE JACKSON MS, CGC
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Phone number: 502-588-0850
Mailing Address
Miss KELLY ELAINE JACKSON MS, CGC
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: 502-588-0850