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Search › Michigan › 367500000X

Kevin Jackson

NPI 1306683990 · on the registry since 2024

Practice

Address
205 N East Ave
Jackson, MI 49201
Phone
(517) 205-4800
Fax
(313) 876-1305
Organisation at this address
Healthlink, Inc.
Obhg Michigan, Pc
Allegiance Health
Jackson Heart Pllc
Sound Of Mind Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
592

Additional practice sites

  • 4001 W Mcnichols Rd, Detroit, MI

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
163W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-29

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 Michigan