SearchMissouri101YP2500X

Casey Jackson, PLPC

NPI 1811403660 · on the registry since 2017

Practice

Address
10918 Elm Ave Ste 102
Kansas City, MO 64134
Phone
(816) 767-4230
Organisation at this address
Crittenton
Crittenton
Crittenton Childrens Center
St Lukes Hospital Of Kansas City
St Lukes Hospital Of Kansas City
Inferred from a shared address, not stated in the registry.
Clinicians at this address
52

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-12-15

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 Missouri