| Dr Kimberley Evelyn Jackson, DO | |
|
902 Lakeview Ave, Pueblo, CO 81004-3597 | |
| (719) 557-5855 | |
| (719) 557-4690 |
| Full Name | Dr Kimberley Evelyn Jackson |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | 902 Lakeview Ave, Pueblo, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154586832 | NPI | - | NPPES |
| OS014960 | Other | PA | PENNSYLVANIA OSTEOPATHIC MEDICAL BOARD |
| 50533 | Other | CO | COLORADO LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | OS014960 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kimberley Evelyn Jackson, DO 902 Lakeview Ave, Pueblo, CO 81004-3597 Ph: (719) 557-5855 | Dr Kimberley Evelyn Jackson, DO 902 Lakeview Ave, Pueblo, CO 81004-3597 Ph: (719) 557-5855 |
Benjamin Joshua Bryden, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5855 Fax: 719-557-4652 | |
Dr. Gabriela Liliana Petrescu, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4204 | |
Dr. John J. Brantley, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4312 Fax: 719-546-4425 | |
Dr. Edmund M. Lowinger, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4411 Fax: 719-546-4425 | |
Dr. Joseph John Wermers, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1410 W 13th St, Pueblo, CO 81003 Phone: 719-583-5550 Fax: 719-583-5525 | |
Timothy Michael Farley, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5872 |