MR. Kevin Lee Jackson, MD

NPI #1316938517 in Opelika, Alabama

Provider Information

NPI Number: 1316938517
Entity Type: Individual
Name: MR. Kevin Lee Jackson, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Nov 4, 2005
Last Updated: Jan 26, 2017

Practice Location

Address: 2430 VILLAGE PROFESSIONAL DR
City: Opelika
State: Alabama
ZIP Code: 36801-2378
Phone: (334) 821-6300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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