Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN GORDON JACKSON, M.D.
ActiveDR. KEVIN GORDON JACKSON, M.D. is a Geriatric Medicine healthcare provider located in PHOENIX, Arizona. NPI 1225032782 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · PHOENIX, AZ
Registration Details
- NPI Number
- 1225032782
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2005 (21.196752007085 yrs)
- Last Updated
- Apr 13, 2023
- License
-
22105 (AZ)
Practice Information
- Address
-
7600 N 16TH ST STE 112PHOENIX, AZ, 850204446Browse AZ providers · Browse ZIP 85020
- Phone
- 6028300605
- Primary Specialty
-
Geriatric Medicine
207QG0300X
Other Geriatric Medicine Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| THOMAS J CUOMO JR | MD | 1205812757 |
| DR. NALINI SRIDHAR BHALLA | M.D. | 1295704229 |
| MR. ROBIN F MACDOUGALL | D.O. | 1598702086 |
| DR. SONA S GIKNAVORIAN | MD | 1225132608 |
| DR. JOHN F. SAARI | MD | 1235221334 |
| DR. CESAR F. CLIMACO | M.D. | 1548345952 |
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.