Search › Nevada › 104100000X
Keith Jackson
NPI 1033461280 · on the registry since 2012 · sole proprietor
Practice
- Address
- 7550 Constantinople Ave
Las Vegas, NV 89129 - Phone
- (702) 349-4042
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 103K00000X
- Sex
- Male
- Record last updated
- 2012-10-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada