KEVIN ANTHONY JACKSON NPI 1427829548

NPI Information

NPI: 1427829548
Provider Name: KEVIN ANTHONY JACKSON
Classification: Driver - 172A00000X
Entity Type: Individual
Address:
2470 CONSTELLATION DR UNIT 103
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (310) 484-8432
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Kevin Anthony Jackson is a driver in Lake Havasu City, AZ. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Kevin Anthony Jackson NPI is 1427829548. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2470 CONSTELLATION DR UNIT 103
LAKE HAVASU CITY, AZ
ZIP 86403-944
Phone: (310) 484-8432

The enumeration date for this NPI number is 1/9/2024 and was last updated on 1/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	172A00000X	Driver		D08566611	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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