Kirk Lee Jackson in Cullman - Internal Medicine

Kirk Lee Jackson - NPI 1316977945

Kirk Lee Jackson is a Internal Medicine in Cullman, Alabama. Kirk Lee Jackson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kirk Lee Jackson is 1316977945. The last update date is 2011-10-05.

Kirk Lee Jackson's current location address is Po Box 870, Cullman, Alabama. You can contact this provider via phone number 8552308290 and fax number 2567756305. The mailing address for Kirk Lee Jackson is Po Box 870, Cullman, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Kirk Lee Jackson
Address Po Box 870, Cullman, Alabama
Phone Number 8552308290
Fax Number 2567756305
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1316977945
Provider Enumeration Date 2006-07-03
Last Updated Date 2011-10-05

Provider Mailing Address Detail

Address Po Box 870
City Cullman
State Alabama (AL)
Post Code 350560870
Phone Number 8552308290
Fax Number 2567756305

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 18273
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1316977945 AL --
110160764 AL RAILROAD MEDICARE
51077099 AL BLUE CROSS & BLUE SHIELD
77099 AL --

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FAQs about Kirk Lee Jackson

What is the unique identifier code issued to Kirk Lee Jackson by the Centers for Medicare & Medicaid Services?

The Kirk Lee Jackson has been assigned the NPI (National Provider Identifier) 1316977945. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Kirk Lee Jackson?

The Kirk Lee Jackson is situated at Po Box 870, in the city of Cullman, state of AL, with the zip code 350560870.

What is Kirk Lee Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kirk Lee Jackson is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.

When was the Kirk Lee Jackson's 1316977945 issued?

The Kirk Lee Jackson's 1316977945 was issued on 2006-07-03.

As of what date was the information pertaining to Kirk Lee Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kirk Lee Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-10-05.

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