Individual
KYLE ROBERT JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1307 FEDERAL ST STE 2, PITTSBURGH, PA 15212-4769
(877) 660-6777
(441) 359-8055
Mailing address
1307 FEDERAL ST STE 2, PITTSBURGH, PA 15212-4769
(877) 660-6777
(441) 359-8055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA053099
PA
Other
Enumeration date
11/16/2007
Last updated
10/12/2020
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