DR. Kenneth Douglas Jackson M.D.

  • NPI 1073510491
According to our database, the NPI number for DR. Kenneth Douglas Jackson M.D. is 1073510491 and activated since 18 years ago. DR. Kenneth Douglas Jackson M.D. is an individual provider who specializes in Family Medicine, and the primary practice location is 1739 E Beverly Ave, Kingman, AZ 86401. You can also contact DR. Kenneth Douglas Jackson M.D. via telephone number is (928) 692-3456. Provider NPI information was last updated on 07/08/2007.

Recently Active NPIs

Overview of DR. Kenneth Douglas Jackson M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/30/2005
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 12522
  • License State: AZ

Provider Mailing Address

  • Address: 1739 E Beverly Ave
    Suite 201
    Kingman, AZ 86401
  • Phone: 928-692-3456
  • Fax: 928-692-7071

Provider Practice Location

  • Address: 1739 E Beverly Ave
    Suite 201
    Kingman, AZ 86401
  • Phone: 928-692-3456
  • Fax: 928-692-7071

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 12522
  • License State: AZ
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 12522
  • Identifier Type: Other
  • Identifier State: AZ
  • Issuer: LICENSE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Kenneth Douglas Jackson M.D.?
  • A: The npi number for DR. Kenneth Douglas Jackson M.D. is 1073510491.
  • Q: What are DR. Kenneth Douglas Jackson M.D.'s specialties?
  • A: DR. Kenneth Douglas Jackson M.D.'s specialties are Family Medicine and different specialities.
  • Q: What is the medical license for DR. Kenneth Douglas Jackson M.D.?
  • A: The medical license number for DR. Kenneth Douglas Jackson M.D. is 12522 and issued in AZ in USA.
  • Q: Where is DR. Kenneth Douglas Jackson M.D. practice location?
  • A: DR. Kenneth Douglas Jackson M.D. is practicing at 1739 E Beverly Ave, Kingman, AZ 86401.
  • Q: How to contact DR. Kenneth Douglas Jackson M.D.?
  • A: You can contact DR. Kenneth Douglas Jackson M.D. via 928-692-3456.