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Kimberley Jackson, D.O.
NPI 1154586832 · General Practice Physician · Pueblo, CO
Kimberley Jackson, D.O. is a General Practice Physician provider in Pueblo, CO (NPI 1154586832).
Provider details
- NPI number
- 1154586832
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- OS014960 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
902 Lakeview Ave
Pueblo, CO 81004-3597
Phone: (719) 557-5855
Fax: (719) 557-4690
Street-level locationGet directions
Mailing address
902 Lakeview Ave
Pueblo, CO 81004-3597
Registry dates
- Enumerated
- 2008-07-22
- Last updated
- 2011-09-16
Frequently asked questions
- What is Kimberley Jackson's NPI number?
- Kimberley Jackson's National Provider Identifier (NPI) is 1154586832, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberley Jackson's specialty?
- Kimberley Jackson is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Kimberley Jackson located?
- Kimberley Jackson's practice location on file with NPPES is 902 Lakeview Ave, Pueblo, CO 81004-3597.
- What is Kimberley Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kimberley Jackson is (719) 557-5855.
- Is Kimberley Jackson's NPI active?
- Yes — Kimberley Jackson's NPI (1154586832) is active in the NPPES registry as of the last update on 2011-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.