NPI 1255383741
Michael D Jackson, MD
Practice location
- Address
- 602 N 6th St, Garden City, KS 67846-5509
- Phone
- (620) 272-2519
- Mailing address
- PO Box 803929, Kansas City, MO 64180-3929
Registered specialties
Family Medicine Physician
Primary
Registry record
- NPI
- 1255383741
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 May 2006
- Record last updated
- 3 Jun 2024
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.