location
search-icon
person
Kevin Anthony Jackson
Driver in Lake Havasu City, Arizona
NPI 1427829548

Kevin Anthony Jackson is a Driver based in Lake Havasu City, AZ. Kevin Anthony Jackson practices in Lake Havasu City, AZ. The NPI Number for Kevin Anthony Jackson is 1427829548 and holds a License No. D08566611 (Arizona).

The current practice location address for Kevin Anthony Jackson is 2470 Constellation Dr Unit 103, Lake Havasu City, AZ and can be reached out via phone at 310-484-8432.

Location: 2470 Constellation Dr Unit 103, Lake Havasu City, AZ, 86403-4944
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427829548
Provider Name
Kevin Anthony Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2470 Constellation Dr Unit 103, Lake Havasu City, AZ, 86403-4944
Phone Number
310-484-8432
Fax Number
Provider Enumeration Date
01/09/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2470 Constellation Dr Unit 103
City
Lake Havasu City
State
Arizona
Zip
86403-4944
Phone Number
310-484-8432
Fax Number
person
Provider Business Mailing Address Details
Address
2470 Constellation Dr Unit 103
City
Lake Havasu City
State
Arizona
Zip
86403-4944
Phone Number
310-484-8432
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
D08566611 (Arizona)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.