IndividualActive
Anthony Jackson, MD
NPI 1366413114 · Family Medicine Physician · Hutchinson, KS
Provider details
- NPI number
- 1366413114
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 04-30714 (KS)
Mailing address
2101 N Waldron St
Hutchinson, KS 67502-1197
Registry dates
- Enumerated
- 2006-01-30
- Last updated
- 2023-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.