Jackson, Kevin

Jackson, Kevin is an individual health care provider with primary practice located at 2251 N Harbor Blvd , Fullerton CA 92835-2601. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Jackson, Kevin can be contacted via phone (714) 449-6230.

Contact Information

Primary practice address
2251 N Harbor Blvd Fullerton CA 92835-2601
Phone: (714) 449-6230
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 54285 California

Profile Details

NPI number 1326498361
LBN Legal business name Jackson, Kevin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2016
Last updated Jun 28th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers