Healthcare Provider Details

I. General information

NPI: 1710867940
Provider Name (Legal Business Name): JACKSON CURTIS MCKEEHAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/08/2025
Certification Date: 09/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7615 AUSTIN BLUFFS PKWY UNIT 100
COLORADO SPRINGS CO
80920-2901
US

IV. Provider business mailing address

7615 AUSTIN BLUFFS PKWY UNIT 100
COLORADO SPRINGS CO
80920-2901
US

V. Phone/Fax

Practice location:
  • Phone: 719-522-1219
  • Fax:
Mailing address:
  • Phone: 719-522-1219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0900X
TaxonomyInternist Chiropractor
License NumberCHR.0008982
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: