Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kevin Gordon Jackson, MD

Individual provider Geriatric Medicine (Family Medicine) Physician · NPI 1225032782

Dr. Kevin Gordon Jackson, MD is a Geriatric Medicine (Family Medicine) Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7600 N 16th St Ste 112
Phoenix, AZ 85020-4446
Phone: (602) 830-0605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X · Licence 22105 (AZ)

Record details

NPI number1225032782
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2005
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023

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