NPI 1205824919 DR. WARREN KIETH JACKSON MD KANSAS CITY MO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Warren Kieth Jackson - NPI: 1205824919

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. WARREN KIETH JACKSON
NPI Number: 1205824919
Entity Type Code: Individual (1)
Gender: M
Credentials: MD
License Number: R6C88
Business Practice Address: 6601 Rockhill Rd
Suite 105 Kansas City, MO - 641311118
Business Phone Number: 8165230066
Business Fax Number: 8165230034
Mailing Address: 6601 Rockhill Rd, Suite 105
KANSAS CITY
State: MO
Postal Code: 641311118
Phone Number: 8165230066
Fax Number: 8165230034
NPI Enumeration Date: 10/07/2005
NPI Last Update Date: 09/11/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 208000000X
License Number: R6C88
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MO
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Pediatrics
Taxonomy Specialization:
Taxonomy 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


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