NPI 1134177108

Thad Jackson, MD

Practitioner Neurological Surgery Physician Elizabethtown, KY

Practice location

Address: 1700 Ring Rd, Elizabethtown, KY 42701-9497
Phone: (270) 769-5551

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 34151 (KY)

Other Neurological Surgery providers in Kentucky →

Registry record

NPI: 1134177108
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2006
Record last updated: 25 May 2012

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.