Individual
DR. KEVIN JOSEPH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2816 E MARKET ST, YORK, PA 17402-2413
(717) 757-5731
(717) 840-0437
Mailing address
2816 E MARKET ST, YORK, PA 17402-2413
(717) 757-5731
(717) 840-0437
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH 6129
FL
111N00000X
Chiropractor
Primary
DC004154L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
689352
HIGHMARK
PA
Enumeration date
02/13/2006
Last updated
08/04/2011
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