NPI 1477925287

Kevin Jackson, CAA

Practitioner Anesthesiologist Assistant Mayfield Heights, OH

Practice location

Address: 6780 Mayfield Rd, Mayfield Heights, OH 44124-2203
Phone: (440) 312-4500
Mailing address: 911 Northboro Dr, Mayfield Village, OH 44143-3429

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 67.000265 (OH)

Other Anesthesiologist Assistant providers in Ohio →

Registry record

NPI: 1477925287
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Oct 2015
Record last updated: 21 Oct 2015

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.