Dr. Kimberly L Jackson
M.D. | Pediatrics | Female
Dr. Kimberly L Jackson, M.D. is a Buffalo, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Kimberly L Jackson is
818 Ellicott St, Buffalo, New York - 14203-1021. She can be contacted on phone at
716-323-2000 and fax number 716-323-0292.
Dr. Kimberly L Jackson is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kimberly L Jackson is
1518129097 which was assigned by NPPES on 26 Jun, 2008 and it was last updated on 02 Mar, 2023.
Dr. Kimberly L Jackson license number is
248351 for Pediatrics (208000000X) in New York.
Dr. Kimberly L Jackson is a pediatrician who 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.
Complete Profile:
Dr. Kimberly L Jackson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Kimberly L Jackson |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Kimberly L Jackson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 818 Ellicott St
Buffalo, NY, 14203-1021
United States |
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| Phone Number : | 716-323-2000 |
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| Fax Number : | 716-323-0292 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1518129097 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Jun, 2008 |
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| Last Updated On : | 02 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kimberly L Jackson are as mentioned. Primary taxonomy code for Dr. Kimberly L Jackson, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 248351 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kimberly L Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 03040719 | MEDICAID | NY | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1540 MAPLE RD,
WILLIAMSVILLE, NY, 14221-3647
United States | WILLIAMSVILLE, NY | 716-568-3600 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1001 Main St Fl 5
Buffalo, NY, 14203-1009
United States |
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| Phone Number : | 716-323-0034 |
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| Fax Number : | 716-323-0292 |
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Business Location:
Patients can refer following map for directions to
Dr. Kimberly L Jackson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.