Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH LEE JACKSON
Active Sole ProprietorMR. KENNETH LEE JACKSON is a Bus healthcare provider located in LAKE CHARLES, Louisiana. NPI 1154058162 is currently active in the NPPES registry. Verify at CMS.
Bus · LAKE CHARLES, LA
Registration Details
- NPI Number
- 1154058162
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2022 (3.9926491037332 yrs)
- Last Updated
- Aug 1, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
1216 OKLAHOMA STLAKE CHARLES, LA, 706073624Browse LA providers · Browse ZIP 70607
- Phone
- 3374140914
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in LAKE CHARLES, LA
| Name | Credential | NPI |
|---|---|---|
| MISS MARY PRAYLOR | — | 1740654680 |
| MR. DANIEL LEE RICHARD JR. | — | 1295183325 |
| MRS. CHARLOTTE MARTIA BORDELON | — | 1528565942 |
| SHANNON HANDY | — | 1174163240 |
| PRINCESS MILLIGAN | — | 1942896980 |
| MRS. ONA-LEE GAIL DAVIS | — | 1295403020 |
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.