DR. Kevin T Jackson, M.D.

NPI #1144291907 in Harrison, Arkansas

Provider Information

NPI Number: 1144291907
Entity Type: Individual
Name: DR. Kevin T Jackson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jan 30, 2006
Last Updated: Aug 17, 2015

Practice Location

Address: 1420 HIGHWAY 62 65 N
City: Harrison
State: Arkansas
ZIP Code: 72601-1959
Phone: (479) 741-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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