Individual
DR. ROBERT SEAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, UNIVERSITY OF KANSAS MEDICAL CENTER, KANSAS CITY, KS 66160-0000
(913) 588-6100
(913) 588-8186
Mailing address
3901 RAINBOW BLVD,, MS#3017 UNIVERSITY OF KANSAS MEDICAL CENTER, KANSAS CITY, KS 66160-0000
(913) 588-6100
(913) 588-8186
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
04-2105
KS
207X00000X
Orthopaedic Surgery Physician
0428105
KS
207X00000X
Orthopaedic Surgery Physician
118992
MO
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
04-2105
KS
207XS0117X
Orthopaedic Surgery of the Spine Physician
0428105
KS
207XS0117X
Orthopaedic Surgery of the Spine Physician
118992
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1826450
UNITED HEALTH CARE
—
01
—
25755019
BCBS KC
—
01
—
7665523
AETNA
—
Enumeration date
06/29/2006
Last updated
06/23/2011
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