MEDICARE: JACKSON CURTIS MCKEEHAN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NI0900X	Internist Chiropractor	CHR.0008982	CO

General Provider Information

NPI Number	:	1710867940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACKSON CURTIS MCKEEHAN DC

Provider Business Mailing Address
First Line	:	7615 AUSTIN BLUFFS PKWY UNIT 100
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-2901
Country	:	US
Telephone Number	:	719-522-1219
Fax Number	:

Provider Business Practice Location Address
First Line	:	7615 AUSTIN BLUFFS PKWY UNIT 100
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-2901
Country	:	US
Telephone Number	:	719-522-1219
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2025
Last Update Date	:	09/08/2025

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