Jackson-King, Kelly Robin

Jackson-King, Kelly Robin is an individual health care provider with primary practice located at 3196 S Maryland Pkwy , Las Vegas NV 89109-2305. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Jackson-King, Kelly Robin can be contacted via phone (702) 255-3547.

Contact Information

Primary practice address
3196 S Maryland Pkwy Las Vegas NV 89109-2305
Phone: (702) 255-3547
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 9540 Nevada
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME125609 Florida

Profile Details

NPI number 1497726806
LBN Legal business name Jackson-King, Kelly Robin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Nov 4th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497726806 NPPES
Nevada MEDICAID 2018359
Nevada Other 3102659

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