Individual provider · Type 1 NPI

Kimberley Evelyn Jackson, DO

General Practice Physician · Pueblo, CO

NPI number 1154586832 Active

Practice location

902 Lakeview Ave
Pueblo, CO 81004-3597

Call (719) 557-5855 Map

Fax (719) 557-4690

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XOS014960 (PA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

60 other providers at this address

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About NPI 1154586832

Kimberley Evelyn Jackson, DO's National Provider Identifier is 1154586832, issued on Jul 22, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Pueblo, CO. The record was last updated on Sep 16, 2011.