NPI 1033201983

Robert Vincent Jackson, MD

Practitioner Pediatrics Physician Overland Park, KS

Practice location

Address: 8901 W 74th St Suite 10, Overland Park, KS 66204-2204
Phone: (913) 362-1660
Mailing address: 1001 W 69th St, Kansas City, MO 64113-1907

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 04-18613 (KS)

Other Pediatrics providers in Kansas →

Registry record

NPI: 1033201983
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.