Kilee Jackson
Individual provider Active NPI Occupational Therapist · Given, WV
NPI 1144606609 · NPPES record last updated Aug 7, 2015
Key facts
- NPI
- 1144606609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 4551 (SC)
- Practice address
- 246 Fayes Valley Rd
Given, WV 25245-8027 - Phone
- (304) 532-3975
- NPI assigned
- Aug 7, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4551 | SC | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4551 | SC | Yes |
Addresses
Primary practice location
246 Fayes Valley Rd
Given, WV 25245-8027
Mailing address
246 Fayes Valley Rd
Given, WV 25245-8027
Phone (304) 532-3975
Other providers in Given, WV
- Jennifer Boggess
- Bobbie Jo Burdette
- Elizabeth Cobb
- Lisa Fisher-Medford
- Tammy Lynn Harper
- Brittney Larkey
- Leanne Nicole Matherly
- Julie Robinson
- Jillian Nicole Way
- Resa Whittemore
All providers in Given, WV · Occupational Therapist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.