Individual
DR. KEVIN T JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1420 HIGHWAY 62 65 N, HARRISON, AR 72601-1959
(479) 741-3600
(870) 741-4482
Mailing address
1420 HIGHWAY 62 65 N, HARRISON, AR 72601-1959
(479) 741-3600
(870) 741-4482
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-2640
AR
Other
Enumeration date
01/30/2006
Last updated
08/17/2015
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