Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIRK LEE JACKSON, M.D.
ActiveInternal Medicine · DECATUR, AL
Registration Details
- NPI Number
- 1316977945
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2006 (19.801449010189 yrs)
- Last Updated
- Oct 5, 2011
- Licenses
-
18273 (AL)MD18273 (AL)
Practice Information
- Address
-
2506 DANVILLE RD SWSUITE 101DECATUR, AL, 356034232Browse AL providers · Browse ZIP 35603
- Phone
- 2563506363
- Fax
- 2563506855
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Family Medicine
Other Internal Medicine Providers in DECATUR, AL
| Name | Credential | NPI |
|---|---|---|
| ALEXIS ROBERT PENOT | MD | 1619952041 |
| DR. RICHARD ANTHONY BUCCO JR. | MD, PHD, FASAM | 1518945724 |
| SCOTT ACKLIN MATTHEWS | MD | 1407823099 |
| DR. STEPHEN ALAN BRANNING | M.D. | 1033188875 |
| MR. ALLEN JAMES SCHMIDT JR. | MD | 1922068444 |
| DR. ADNAN A SELJUKI | MD | 1174563985 |
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.