Provider Demographics
NPI:1710867940
Name:MCKEEHAN, JACKSON CURTIS (DC)
Entity type:Individual
Prefix:
First Name:JACKSON
Middle Name:CURTIS
Last Name:MCKEEHAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7615 AUSTIN BLUFFS PKWY UNIT 100
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-2901
Mailing Address - Country:US
Mailing Address - Phone:719-522-1219
Mailing Address - Fax:
Practice Address - Street 1:7615 AUSTIN BLUFFS PKWY UNIT 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-2901
Practice Address - Country:US
Practice Address - Phone:719-522-1219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0008982111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0900XChiropractic ProvidersChiropractorInternistGroup - Single Specialty