Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE ROBERT JACKSON, PA
ActiveKYLE ROBERT JACKSON, PA is a Physician Assistant healthcare provider located in PITTSBURGH, Pennsylvania. NPI 1104007301 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PITTSBURGH, PA
Registration Details
- NPI Number
- 1104007301
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2007 (18.715591611148 yrs)
- Last Updated
- Oct 12, 2020
- License
-
MA053099 (PA)
Practice Information
- Address
-
1307 FEDERAL ST STE 2PITTSBURGH, PA, 152124769Browse PA providers · Browse ZIP 15212
- Phone
- 8776606777
- Fax
- 4413598055
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PITTSBURGH, PA
| Name | Credential | NPI |
|---|---|---|
| ANDREA RINGLING BROWN | PA-C | 1457354193 |
| ALYSSA OWENS | — | 1942206867 |
| MR. SHAY JONES | P.A.-C | 1417954736 |
| JONATHAN S WASKO | PA-C | 1871595611 |
| MR. MARK D. ATHANAS | PA-C, MAT, ATC, EMT | 1548253149 |
| MS. JEAN MARIE PERRY | PAC | 1366438608 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.