Individual
KELLY ROBIN JACKSON-KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3196 S MARYLAND PKWY, LAS VEGAS, NV 89109-2305
(702) 255-3547
Mailing address
3196 S MARYLAND PKWY, LAS VEGAS, NV 89109-2305
(702) 255-3547
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
71087
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
9540
NV
207V00000X
Obstetrics & Gynecology Physician
ME125609
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018359
—
NV
01
—
3102659
MEDICAID
NV
Enumeration date
02/01/2006
Last updated
04/23/2026
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