Jackson, Anthony Kory

Jackson, Anthony Kory is an individual health care provider with primary practice located at 2101 N Waldron St , Hutchinson KS 67502-1131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jackson, Anthony Kory can be contacted via phone (620) 669-2500.

Contact Information

Primary practice address
2101 N Waldron St Hutchinson KS 67502-1131
Phone: (620) 669-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-30714 Kansas

Profile Details

NPI number 1366413114
LBN Legal business name Jackson, Anthony Kory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Sep 21st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366413114 NPPES
Kansas MEDICAID 200260300 A

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