Individual
ADRIAN P JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23351 PRAIRIE STAR PKWY STE 275, LENEXA, KS 66227-6201
(913) 322-2700
(913) 322-7890
Mailing address
PO BOX 26250, OVERLAND PARK, KS 66225-6250
(913) 322-2700
(913) 322-7890
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
04-31121
KS
Other
Enumeration date
05/03/2006
Last updated
02/22/2022
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