Kevin Jackson, CAA

Anesthesiologist Assistant · Mayfield Heights, OH

Individual Active NPI

NPI number 1477925287

Practice location

6780 Mayfield Rd
Mayfield Heights, OH 44124-2203
Phone
(440) 312-4500

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NPI record

NPI
1477925287
Entity type
Individual (Type 1)
Enumeration date
October 21, 2015
Last updated
October 21, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiologist Assistant Primary 367H00000X 67.000265 OH

Mailing address

911 Northboro Dr
Mayfield Village, OH 44143-3429

About Kevin Jackson

Kevin Jackson, CAA is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiologist Assistant (code 367H00000X). The practice location is 6780 Mayfield Rd, Mayfield Heights, OH 44124-2203. The NPI number 1477925287 was assigned on October 21, 2015 and the record was last updated on October 21, 2015.

Kevin Jackson lists a license in the registry: #67.000265 (OH) for Anesthesiologist Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kevin Jackson, CAA?

The NPI number is 1477925287.

What is the phone number of Kevin Jackson?

The phone number listed for the practice location is (440) 312-4500.

Where is Kevin Jackson located?

6780 Mayfield Rd, Mayfield Heights, OH 44124-2203.

What is the taxonomy code for Kevin Jackson?

The primary taxonomy code is 367H00000X – Anesthesiologist Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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