Kevin Jackson, O.D

NPI 1588977508 · on the registry since 2010

Practice

Address: 484 Golden Autumn Way Ste 201
Bowling Green, KY 42103
Phone: (270) 780-2494
Fax: (270) 780-0465
Organisation at this address: Southern Kentucky Surgicenter, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 27

Registry record

Primary taxonomy: Optometrist
152W00000X
Licence states on file: KY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-11-10

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 Kentucky