SearchColorado207XS0117X

Keith Jackson, MD

NPI 1578728614 · on the registry since 2008

Practice

Address
2222 N Nevada Ave Ste 5001
Colorado Springs, CO 80907
Phone
(719) 776-3580
Fax
(719) 776-3599
Organisation at this address
Penrose Hospital
Total Healthcare
Usacs Of Colorado Inc
Specialty Medcare Inc
Urology Associates Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
318

Registry record

Primary taxonomy
207XS0117X
207XS0117X
Also registered as
207XS0117X
Licence states on file
CO, NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-21

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 Colorado