OrganizationActive
David L. Jackson, M.D., Psc
NPI 1811995996 · Physical Medicine & Rehabilitation Physician · Lexington, KY
Provider details
- NPI number
- 1811995996
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Jackson, President(859) 367-7110
- License
- 24005 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2050 Versailles Rd
Lexington, KY 40504-1405
Phone: (859) 367-7110
Fax: (859) 367-7138
Approximate (ZIP-level) locationGet directions
Mailing address
2050 Versailles Rd
Lexington, KY 40504-1405
Registry dates
- Enumerated
- 2005-07-12
- Last updated
- 2009-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.