DR. KENNETH JACKSON, M.D.

Family Medicine

Active Individual
NPI: 1073510491

Practice Address

1739 E BEVERLY AVE
SUITE 201
Kingman, AZ 86401

Phone: (928) 692-3456

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 12522 (AZ)

Frequently Asked Questions

NPI 1073510491 is the National Provider Identifier for DR. KENNETH JACKSON, M.D., a Family Medicine provider located in Kingman, AZ. This NPI was enumerated on June 30, 2005.
DR. KENNETH JACKSON, M.D. practices at 1739 E BEVERLY AVE, SUITE 201, Kingman, AZ 86401.

Quick Facts

NPI
1073510491
Type
Individual
Enumerated
Jun 30, 2005
Last Updated
Mar 7, 2023

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