Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE JACKSON, M.D., PH.D.
Active Sole ProprietorKYLE JACKSON, M.D., PH.D. is a General Surgery healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1164849352 is currently active in the NPPES registry. Verify at CMS.
General Surgery · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1164849352
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2014 (12.205045881003 yrs)
- Last Updated
- Oct 30, 2024
- License
-
MD485481 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3400 SPRUCE STREET4 SILVERSTEINPHILADELPHIA, PA, 101044206Browse PA providers · Browse ZIP 10104
- Phone
- 2156154949
- Fax
- 2156622244
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| MARK L SAXTON | MD | 1831193416 |
| ALAN L SCHURICHT | M.D. | 1114925005 |
| ALLEN H BAR | MD | 1972501856 |
| DR. JOHN NORRIS CHILDS III | M.D. | 1013918572 |
| ARTHUR J. SESSO | DO | 1114929015 |
| EVAN NADLER | M.D. | 1316931850 |
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.