Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH DOUGLAS JACKSON, M.D.
ActiveDR. KENNETH DOUGLAS JACKSON, M.D. is a Family Medicine healthcare provider located in KINGMAN, Arizona. NPI 1073510491 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · KINGMAN, AZ
Registration Details
- NPI Number
- 1073510491
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2005 (20.939680053758 yrs)
- Last Updated
- Mar 7, 2023
- License
-
12522 (AZ)
Practice Information
- Address
-
1739 E BEVERLY AVESUITE 201KINGMAN, AZ, 864013593Browse AZ providers · Browse ZIP 86401
- Phone
- 9286923456
- Fax
- 9286927071
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in KINGMAN, AZ
| Name | Credential | NPI |
|---|---|---|
| KIRSTEN MORTENSON | DO | 1174517767 |
| DONALD LYNN MORGAN | D.O. | 1205826880 |
| DR. JOHN A WEIDNER | D.O. | 1467438143 |
| TED EDWARD ZEGARRA | M.D. | 1063492676 |
| MOHAMMAD ABDUL SUBHAN | M.D. | 1306819883 |
| DR. JON SCHWARTZ | MD | 1720008972 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.