MR. Kevin W Jackson, PA-C

NPI #1871986083 in Celina, Ohio

Provider Information

NPI Number: 1871986083
Entity Type: Individual
Name: MR. Kevin W Jackson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 12, 2015
Last Updated: Apr 2, 2024

Practice Location

Address: 801 PRO DR STE D1
City: Celina
State: Ohio
ZIP Code: 45822-3307
Phone: (419) 586-6489

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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