LARRY JACKSON M.D. - NPI 1720049349 - Family Medicine in Kalamazoo, MI

Q: What is Larry Jackson's NPI number?

The NPI number for Larry Jackson is 1720049349. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Q: What is Larry Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Larry Jackson was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Larry Jackson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY JACKSON M.D. (NPI 1720049349) is an individual family medicine provider in Kalamazoo, Michigan, licensed in Michigan (4301062086) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1720049349

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameLARRY JACKSONCredential: M.D.

Location Address6565 W MAIN STKalamazoo, MI 49009-6114

Mailing Address6565 W Main StKalamazoo, MI 49009-6114 · (269) 375-0400 · Fax (269) 372-8484

Phone(269) 375-0400

Fax(269) 372-8484

Sole ProprietorNo

Enumeration DateMarch 31, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1720049349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4301062086

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6565 W MAIN ST, Kalamazoo, MI 49009

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