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Organization
DAVID L. JACKSON, M.D., PSC
Active
Organization
DAVID L. JACKSON, M.D., PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L. JACKSON M.D. (PRESIDENT)
(859) 367-7110
Entity
Organization
Contact information
Practice address
2050 VERSAILLES RD, LEXINGTON, KY 40504-1405
(859) 367-7110
(859) 367-7138
Mailing address
2050 VERSAILLES RD, LEXINGTON, KY 40504-1405
(859) 367-7110
(859) 367-7138
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
24005
KY
Other
Enumeration date
07/12/2005
Last updated
02/03/2009
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