Dr Kimberley Evelyn Jackson, DO - General Practice in Pueblo, CO

Dr Kimberley Evelyn Jackson, DO is a General Practice physician based in Pueblo, Colorado. Dr Kimberley Evelyn Jackson is licensed to practice in Pennsylvania (license number OS014960) and her current practice location is 902 Lakeview Ave, Pueblo, Colorado. She can be reached at her office (for appointments etc.) via phone at (719) 557-5855.

NPI number for Dr Kimberley Evelyn Jackson is 1154586832 and her current mailing address is 902 Lakeview Ave, Pueblo, Colorado. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154586832.

Contact Information

Dr Kimberley Evelyn Jackson, DO
902 Lakeview Ave,
Pueblo, CO 81004-3597
(719) 557-5855
(719) 557-4690



Physician's Profile

Full NameDr Kimberley Evelyn Jackson
GenderFemale
SpecialityGeneral Practice
Location902 Lakeview Ave, Pueblo, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154586832
  • Provider Enumeration Date: 07/22/2008
  • Last Update Date: 09/16/2011

Medical Identifiers

Medical identifiers for Dr Kimberley Evelyn Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154586832NPI-NPPES
OS014960OtherPAPENNSYLVANIA OSTEOPATHIC MEDICAL BOARD
50533OtherCOCOLORADO LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice OS014960 (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kimberley Evelyn Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

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› Verified 7 days ago


General Practice Doctors in Pueblo, CO

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    

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