Kimberly L Jackson in Buffalo - Pediatrics

Kimberly L Jackson - NPI 1518129097

Kimberly L Jackson is a Pediatrics in Buffalo, New York. Kimberly L Jackson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kimberly L Jackson is 1518129097. The last update date is 2023-03-02.

Kimberly L Jackson's current location address is 818 Ellicott St, Buffalo, New York. You can contact this provider via phone number 7163232000 and fax number 7163230292. The mailing address for Kimberly L Jackson is 818 Ellicott St, Buffalo, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly L Jackson
Address 818 Ellicott St, Buffalo, New York
Phone Number 7163232000
Fax Number 7163230292
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1518129097
Provider Enumeration Date 2008-06-26
Last Updated Date 2023-03-02

Provider Mailing Address Detail

Address 818 Ellicott St
City Buffalo
State New York (NY)
Post Code 142031021
Phone Number 7163232000
Fax Number 7163230292

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 248351
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3040719 NY --

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FAQs about Kimberly L Jackson

What is the Kimberly L Jackson's 1518129097?

The Kimberly L Jackson's NPI (National Provider Identifier) Number is 1518129097. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Kimberly L Jackson?

The Kimberly L Jackson is physically situated at 818 Ellicott St, in the city of Buffalo, state of NY, with the postal code 142031021.

What is the Kimberly L Jackson's specialty and taxonomy code?

The Kimberly L Jackson's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1518129097 to Kimberly L Jackson?

The Centers for Medicare & Medicaid Services assigned the 1518129097 to Kimberly L Jackson on 2008-06-26.

When was the information regarding Kimberly L Jackson most recently updated?

The details pertaining to the Kimberly L Jackson, including its address, specialty, and other relevant information, were last refreshed on 2023-03-02.

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