Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THAD JACKSON, MD
Active Sole ProprietorTHAD JACKSON, MD is a Neurological Surgery healthcare provider located in ELIZABETHTOWN, Kentucky. NPI 1134177108 is currently active in the NPPES registry. Verify at CMS.
Neurological Surgery · ELIZABETHTOWN, KY
Registration Details
- NPI Number
- 1134177108
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2006 (20.301423289733 yrs)
- Last Updated
- May 25, 2012
- License
-
34151 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1700 RING RDELIZABETHTOWN, KY, 427019497Browse KY providers · Browse ZIP 42701
- Phone
- 2707695551
- Primary Specialty
-
Neurological Surgery
207T00000X
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.