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Dr. Kevin Gordon Jackson, MD
Geriatric Medicine (Family Medicine) Physician in Phoenix, Arizona
NPI 1225032782

Kevin Gordon Jackson is a Geriatric Medicine (Family Medicine) Physician based in Phoenix, AZ and is specialized in Geriatric Medicine. Kevin Gordon Jackson practices in Phoenix, AZ and has the professional credentials of MD. The NPI Number for Kevin Gordon Jackson is 1225032782 and holds a License No. 22105 (Arizona).

The current practice location address for Kevin Gordon Jackson is 7600 N 16Th St Ste 112, Phoenix, AZ and can be reached out via phone at 602-830-0605. You can also correspond with Kevin Gordon Jackson through the mailing address at 7600 N 16TH ST STE 112, PHOENIX, AZ - 85020-4446 (mailing address contact number: 602-830-0605).

Location: 7600 N 16Th St Ste 112, Phoenix, AZ, 85020-4446
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Provider Profile Details
NPI Number
1225032782
Provider Name
Kevin Gordon Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7600 N 16Th St Ste 112, Phoenix, AZ, 85020-4446
Phone Number
602-830-0605
Fax Number
Provider Enumeration Date
06/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
428525 05 AZ
AZ0728320 01 AZ BLUE CROSS OF ARIZONA
institution
Provider Business Practice Location Address Details
Address
7600 N 16Th St Ste 112
City
State
Zip
85020-4446
Phone Number
602-830-0605
Fax Number
person
Provider Business Mailing Address Details
Address
7600 N 16Th St Ste 112
City
State
Zip
85020-4446
Phone Number
602-830-0605
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Geriatric Medicine
Taxonomy
License No.
22105 (Arizona)
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
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