Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENT R JACKSON, MD
ActiveKENT R JACKSON, MD is a Electrodiagnostic Medicine healthcare provider located in HARBOR CITY, California. NPI 1871660613 is currently active in the NPPES registry. Verify at CMS.
Electrodiagnostic Medicine · HARBOR CITY, CA
Registration Details
- NPI Number
- 1871660613
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 29, 2006 (19.725244840194 yrs)
- Last Updated
- Nov 30, 2021
- License
-
A78820 (CA)
Practice Information
- Address
-
25825 VERMONT AVEHARBOR CITY, CA, 907103518Browse CA providers · Browse ZIP 90710
- Phone
- 3103255111
- Primary Specialty
-
Electrodiagnostic Medicine
204D00000X
Other Electrodiagnostic Medicine Providers in HARBOR CITY, CA
| Name | Credential | NPI |
|---|---|---|
| ANTHONY J. LEONE | MD | 1104997162 |
| JACOB M. ISHKANIAN | MD | 1861569675 |
| RONALD A. NAVARRO | MD | 1366519290 |
| JOHN A. PETERS | MD | 1245307461 |
| DAVID RON ANDERSON | MD | 1063571651 |
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.