Dr. Kevin Gordon Jackson
Family Doctor - Geriatric Medicine
8111 E Thomas Rd Ste 124
Scottsdale
, Arizona 85251-5844
Dr. Kevin Gordon Jackson
Family Doctor - Geriatric Medicine
8111 E Thomas Rd Ste 124
Scottsdale
, Arizona 85251-5844
(602) 952-7146
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Kevin Gordon Jackson
- 8111 E Thomas Rd Ste 124
- Scottsdale, AZ
- Zip : 85251-5844
- Fax : (602) 952-7146
- Phone : (602) 954-0444
Second Address
- Dr. Kevin Gordon Jackson
- 8111 E Thomas Rd Ste 124
- Scottsdale, AZ
- Zip : 85251-5844
- Fax : (602) 952-7146
- Phone : (602) 954-0444
Reviews
FAQs
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Where is Dr. Kevin Gordon Jackson ’s practice located?
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Is Dr. Kevin Gordon Jackson a sole practitioner?
Is Dr. Kevin Gordon Jackson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 22105 | AZ |
National Provider Identifier
| NPI | 1225032782 |
|---|---|
| Provider Name | Dr. Kevin Gordon Jackson |
| First Address | Scottsdale, AZ 85251-5844 |
| Second Address | Scottsdale, AZ 85251-5844 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2005 |
| Last Update Date | 09/10/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 428525 | (05) | AZ |
| AZ0728320 | BLUE CROSS OF ARIZONA (01) | AZ |
| F99662 | (02) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.