Jackson, Warren Kieth

Jackson, Warren Kieth is an individual health care provider with primary practice located at 9140 Ward Parkway Ste 201, Kansas City MO 64114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jackson, Warren Kieth can be contacted via phone (816) 523-0066.

Contact Information

Primary practice address
9140 Ward Parkway Ste 201 Kansas City MO 64114
Phone: (816) 523-0066
Fax: (816) 523-0034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R6C88 Missouri

Profile Details

NPI number 1205824919
LBN Legal business name Jackson, Warren Kieth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Mar 28th, 2017 - about 9 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 1205824919 NPPES
Missouri MEDICAID 201749405

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