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

Kyle Jackman, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659782969

Kyle Jackman, DO is a Family Practice in Ogden, Utah. Qualified in 2014, 12 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
12
Licensed in
UT
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2400 N Washington Blvd
Ogden, UT 84414-7233
Phone: (801) 786-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2900 E 29th St Ste 100, Bryan, TX 77802-2623 — (979) 436-0485

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 10323966-1204 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659782969
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 9, 2014
Last updated in NPPESMarch 17, 2018
Mailing address2900 E 29th St Ste 100, Bryan, TX 77802-2623

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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