KAIDE JACKSTADT
NPI 1942743703
Speech-Language Pathologist in Glen Carbon, IL
About Kaide Jackstadt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAIDE JACKSTADT (NPI 1942743703) is an individual speech-language pathologist provider in Glen Carbon, Illinois, licensed in Illinois (242.003619) and active in the NPI registry since November 2016.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kaide Jackstadt's NPI number?
The NPI number for Kaide Jackstadt is 1942743703. It was assigned to this individual provider in the NPPES registry on November 28, 2016.
Where is Kaide Jackstadt located?
Kaide Jackstadt practices at 93 S Main St, Glen Carbon, IL 62034. The listed phone number is (618) 420-3999.
What is Kaide Jackstadt's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
When was this NPI record last updated?
The NPPES record for Kaide Jackstadt was last updated on November 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.