Individual
DR. KEITH LYNN JACKSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 N NEVADA AVE STE 5001, COLORADO SPRINGS, CO 80907-6865
(719) 776-3580
(719) 776-3599
Mailing address
2222 N NEVADA AVE STE 5001, COLORADO SPRINGS, CO 80907-6865
(719) 776-3580
(719) 776-3599
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
2014-01633
NC
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
DR.0059249
CO
Other
Enumeration date
07/28/2008
Last updated
07/21/2022
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