Dr Jerry S Jackson & Associates P A
Dr Jerry S Jackson & Associates P A provides Podiatric Clinic/Center services in Leavenworth, Kansas. Licensed in Kansas. Registered with an NPI since 2006.
- Licensed in
- KS
- In the registry since
- 2006
Practice location Address checks out
113 Delaware St Ste DLeavenworth, KS 66048-2822 Not confirmed with CMS for 13 years — call before visiting
Phone: (913) 682-4335
Fax: (913) 682-2985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatric Clinic/Center (primary) | Taxonomy 261QP1100X · Licence 145 (KS) |
|---|
Record details
| NPI number | 1235235136 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerry Jackson — President · (913) 682-4335 |
| Other names | Dr Jerry S Jackson And Associates P A |
| NPI enumerated | September 16, 2006 |
| Last updated in NPPES | June 26, 2013 |
| Mailing address | 113 Delaware St, Suite D, Leavenworth, KS 66048-2822 |