DR. KIMBERLEY EVELYN JACKSON (D.O.) – General Practice Physician, NPI 1154586832

DR. KIMBERLEY EVELYN JACKSON (D.O.) is a healthcare provider. based in Pueblo, Colorado. specializing in General Practice Physician. They hold the professional credentials D.O.. They hold a License No. OS014960 (PA). The NPI Number for DR. KIMBERLEY EVELYN JACKSON (D.O.) is 1154586832

Main info

Female
Name
DR. KIMBERLEY EVELYN JACKSON (D.O.)
NPI
1154586832
Phone
(719) 557-5855
Address
902 LAKEVIEW AVE
Enumeration Date
22 July 2008
Last Update Date
16 September 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KIMBERLEY EVELYN JACKSON (D.O.)

  • 902, Lakeview Avenue, Pueblo, Pueblo County, Colorado, 81004, United States

    PUEBLO, CO 810043597

    Phone: (719) 557-5855

    Fax: (719) 557-4690

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81004)

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Reviews

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Frequently asked questions

What unique ID ties claims to DR. KIMBERLEY EVELYN JACKSON (D.O.)?
NPI 1154586832 is assigned to DR. KIMBERLEY EVELYN JACKSON (D.O.) under the national enumeration system.
Is DR. KIMBERLEY EVELYN JACKSON (D.O.)'s NPI currently valid?
The extract we use shows DR. KIMBERLEY EVELYN JACKSON (D.O.) as active.
What field does DR. KIMBERLEY EVELYN JACKSON (D.O.) work in?
You can think of DR. KIMBERLEY EVELYN JACKSON (D.O.) as practicing within General Practice Physician. Clinical services aligned with this taxonomy classification.
Where is DR. KIMBERLEY EVELYN JACKSON (D.O.)'s primary listing?
We display Pueblo, Colorado because that is what the record indicates for DR. KIMBERLEY EVELYN JACKSON (D.O.).
What if Pueblo, Colorado seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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