Search › Michigan › 174H00000X
Kevin Jackson, CERTIFICATION
NPI 1366724270 · on the registry since 2011
Practice
- Address
- 19752 Snowden St
Detroit, MI 48235 - Phone
- (313) 282-7040
- Fax
- (313) 861-4215
Registry record
- Primary taxonomy
- 174H00000X
174H00000X
- Sex
- Male
- Record last updated
- 2011-09-16
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