Kyle William Jackson
Pediatric Hematology-Oncologist
705 Riley Hospital Dr Roc 4340
Indianapolis
, Indiana 46202-5109
Kyle William Jackson
Pediatric Hematology-Oncologist
705 Riley Hospital Dr Roc 4340
Indianapolis
, Indiana 46202-5109
(317) 777-6644
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About
Features
Specialties
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Kyle William Jackson
- Po Box 1026
- Indianapolis, IN
- Zip : 46206-1026
- Fax : (317) 777-6644
- Phone : (317) 777-6435
Second Address
- Kyle William Jackson
- 705 Riley Hospital Dr Roc 4340
- Indianapolis, IN
- Zip : 46202-5109
- Fax : (317) 944-3107
- Phone : (317) 944-2143
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0207X | Pediatric Hematology-Oncologist | 01078900 | IN |
National Provider Identifier
| NPI | 1194967604 |
|---|---|
| Provider Name | Kyle William Jackson |
| First Address | Indianapolis, IN 46206-1026 |
| Second Address | Indianapolis, IN 46202-5109 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/03/2009 |
| Last Update Date | 12/01/2021 |
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.