Search › Arizona › 385HR2055X
Kewuan Jackson
NPI 1639300874 · on the registry since 2009 · sole proprietor
Practice
- Address
- 4880 N Sabino Canyon Rd
Apt 14160
Tucson, AZ 85750 - Phone
- (520) 818-4318
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 385HR2055X
385HR2055X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-08-05
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 Arizona