KENNETH JACKSON, PA
Physician Assistant
Active
Individual
NPI: 1194587824
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | TC075 (KY) |
Frequently Asked Questions
NPI 1194587824 is the National Provider Identifier for KENNETH JACKSON, PA, a Physician Assistant provider located in Corbin, KY. This NPI was enumerated on January 29, 2024.
KENNETH JACKSON, PA practices at 2 TRILLIUM WAY STE 106, Corbin, KY 40701.
Quick Facts
- NPI
- 1194587824
- Type
- Individual
- Enumerated
- Jan 29, 2024
- Last Updated
- Oct 11, 2024
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MRS. LISA CLEARY, P.T.
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