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

MR. KEVIN LEE JACKSON, MD

Active Sole Proprietor

MR. KEVIN LEE JACKSON, MD is a Internal Medicine healthcare provider located in OPELIKA, Alabama. NPI 1316938517 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · OPELIKA, AL

Registration Details

NPI Number
1316938517
Provider Type
Individual
Gender
Male
NPI Issued
Nov 4, 2005 (20.738826047505 yrs)
Last Updated
Jan 26, 2017
License
6757 (AL)
Sole Proprietor
Yes

Practice Information

Address
2430 VILLAGE PROFESSIONAL DR
OPELIKA, AL, 368012378
Browse AL providers · Browse ZIP 36801
Phone
3348216300
Fax
3348211849
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in OPELIKA, AL

Name Credential NPI
DR. PATRICIA ANN WADE M.D. 1982796694
MRS. BETH ANN MITCHELL M.D. 1821180522
JOSEPH ROGERS DOWNS III M.D. 1104910488
DR. JAMES KEVIN ROYAL DR. 1790872174
DR. MARY A SHANNON M.D. 1952499816
DR. ROBERT C PATTON M.D. 1831288901
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.