Dorothy Jean Jackson MD

NPI 1023004009 - Internal Medicine - 207R00000X

NPI Details
NPI 1023004009
Gender Female
Enumeration Date 09/23/2005
Last Updated 04/19/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
3801 BLUE PKWY
KANSAS CITY MO, 64130-2807, US
Phone (816) 923-5800
Fax
Business Location
3801 BLUE PKWY
KANSAS CITY MO, 64130-2807, US
Phone (816) 923-5800
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Missouri
License Number R8B55
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According to our database, Dorothy Jean Jackson MD NPI is 1023004009, taxonomy code is 207R00000X and license number is R8B55, license state is located at Missouri. Dorothy Jean Jackson MD physically located at 3801 Blue Pkwy, Kansas City MO, 64130-2807. NPI Number Dorothy Jean Jackson MD has the Individual type.

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1023004009 NPI number is provided on an as is basis without warranty of any kind. 1023004009 is maintained by the National Plan & Provider Enumeration System. The contents of Dorothy Jean Jackson MD are for informational purposes only.