Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KIMBERLEY EVELYN JACKSON, D.O.

Active

DR. KIMBERLEY EVELYN JACKSON, D.O. is a General Practice healthcare provider located in PUEBLO, Colorado. NPI 1154586832 is currently active in the NPPES registry. Verify at CMS.

General Practice · PUEBLO, CO

Registration Details

NPI Number: 1154586832
Provider Type: Individual
Gender: Female
NPI Issued: Jul 22, 2008 (17.877199498939 yrs)
Last Updated: Sep 16, 2011
License: OS014960 (PA)

Practice Information

Address: 902 LAKEVIEW AVE

PUEBLO, CO, 810043597
Browse CO providers · Browse ZIP 81004
Phone: 7195575855
Fax: 7195574690
Primary Specialty: General Practice
208D00000X

Other General Practice Providers in PUEBLO, CO

Name	Credential	NPI
DR. GABRIELA LILIANA PETRESCU	M.D.	1104869445
DR. EDMUND M. LOWINGER	M.D.	1619903614
DR. JOHN J. BRANTLEY	M.D.	1285662551
DR. ALBERT OLIN SINGLETON III	M.D.	1821029208
DR. JOSEPH JOHN WERMERS	M.D.	1669783296
MATTHEW J KOVACH	MD, DC	1366719163

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.