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Active NPI 1710418355 Individual Practitioner Female Practitioner

Kimberly Jackson , HAIR LOSS SPECIALIST

Technician, Pathology - Phlebotomy • Plano, TX

Professional Overview & Biography Verified Profile Summary

Kimberly Jackson, HAIR LOSS SPECIALIST is a registered healthcare professional specializing in Technician, Pathology - Phlebotomy in Plano, TX. Practice services are available at 204 COIT RD STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

204 Coit Rd Ste 200

Plano, TX 750755718

Telephone 2147275725

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician, Pathology - Phlebotomy in Plano, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Plano, TX (323 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-02-16
Technician, Pathology - Phlebotomy Primary Specialty

NUCC Taxonomy Code: 246RP1900X

Definition to come...

Specialist/Technologist

NUCC Taxonomy Code: 225500000X

General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location February 02, 2021

Registered at 204 COIT RD STE 200, PLANO, TX 750755718 (Tel: 2147275725)

✅
NPI Profile Active March 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2017

Registered at 2402 HIGH STAR DR, GARLAND, TX 750413236 (Tel: 2147275725)

📍
Updated Business Mailing Address March 24, 2017

Registered at 2402 HIGH STAR DR, GARLAND, TX 750413236 (Tel: 2147275725)

👤
Provider Name / Credentials Updated March 24, 2017

Recorded as KIMBERLY JACKSON, HAIR LOSS SPECIALIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2017

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration March 24, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710418355
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2017
Last Update: February 16, 2022
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

2402 High Star Dr

Garland, TX 750413236

Phone: 2147275725

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.