Kelly Jackson
Kelly Jackson is a Surgical Physician Assistant in Scottsdale, Arizona. Licensed in Arizona. Registered with an NPI since 2015.
- Licensed in
- AZ
- In the registry since
- 2015
Practice location Address checks out
9345 E Voltaire AveScottsdale, AZ 85260-7432
Phone: (214) 227-2457
Fax: (214) 764-0880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence AP4200 (AZ) |
|---|
Record details
| NPI number | 1831582204 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kelly Jackson — Owner · (214) 227-2457 |
| NPI enumerated | March 10, 2015 |
| Last updated in NPPES | March 10, 2015 |
| Mailing address | 9345 E Voltaire Ave, Scottsdale, AZ 85260-7432 |
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