Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH WADE JACKSON JR., M.D.
ActiveDR. KENNETH WADE JACKSON JR., M.D. is a Obstetrics healthcare provider located in ARDEN, North Carolina. NPI 1487606943 is currently active in the NPPES registry. Verify at CMS.
Obstetrics · ARDEN, NC
Registration Details
- NPI Number
- 1487606943
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2006 (20.251638422568 yrs)
- Last Updated
- Mar 4, 2021
- License
-
9801313 (NC)
Practice Information
- Address
-
15 SKYLAND INN DR FL 2ARDEN, NC, 287047714Browse NC providers · Browse ZIP 28704
- Phone
- 8286545005
- Fax
- 8286543257
- Primary Specialty
-
Obstetrics
207VX0000X
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.