IndividualActive
Anthony Jackson
NPI 1063076925 · Geriatric Medicine (Internal Medicine) Physician · Kansas City, MO
Provider details
- NPI number
- 1063076925
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
4321 Washington St
Kansas City, MO 64111-5905
Phone: (816) 932-3100
Approximate (ZIP-level) locationGet directions
Mailing address
4321 Washington St
Kansas City, MO 64111-5905
Registry dates
- Enumerated
- 2019-04-26
- Last updated
- 2023-08-14
- Certified
- 2023-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.