Kyle Robert Jackson in Pittsburgh - Physician Assistant
Kyle Robert Jackson - NPI 1104007301
Kyle Robert Jackson is a Physician Assistant in Pittsburgh, Pennsylvania. Kyle Robert Jackson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kyle Robert Jackson is 1104007301. The last update date is 2020-10-12.
Kyle Robert Jackson's current location address is 1307 Federal St Ste 2, Pittsburgh, Pennsylvania. You can contact this provider via phone number 8776606777 and fax number 4413598055. The mailing address for Kyle Robert Jackson is 1307 Federal St Ste 2, Pittsburgh, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyle Robert Jackson |
|---|---|
| Address | 1307 Federal St Ste 2, Pittsburgh, Pennsylvania |
| Phone Number | 8776606777 |
| Fax Number | 4413598055 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1104007301 |
|---|---|
| Provider Enumeration Date | 2007-11-16 |
| Last Updated Date | 2020-10-12 |
Provider Mailing Address Detail
| Address | 1307 Federal St Ste 2 |
|---|---|
| City | Pittsburgh |
| State | Pennsylvania (PA) |
| Post Code | 152124769 |
| Phone Number | 8776606777 |
| Fax Number | 4413598055 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | MA053099 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique identifier code issued to Kyle Robert Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Kyle Robert Jackson has been assigned the NPI (National Provider Identifier) 1104007301. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Kyle Robert Jackson?
The Kyle Robert Jackson is situated at 1307 Federal St Ste 2, in the city of Pittsburgh, state of PA, with the zip code 152124769.
What is the area of specialization for Kyle Robert Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kyle Robert Jackson is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104007301 to Kyle Robert Jackson?
The Centers for Medicare & Medicaid Services assigned the 1104007301 to Kyle Robert Jackson on 2007-11-16.
As of what date was the information regarding Kyle Robert Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kyle Robert Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-10-12.
NPI Number: 1962405878
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