Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH MARLON JACKSON
Active Sole ProprietorKENNETH MARLON JACKSON is a Driver healthcare provider located in BATON ROUGE, Louisiana. NPI 1902612740 is currently active in the NPPES registry. Verify at CMS.
Driver · BATON ROUGE, LA
Registration Details
- NPI Number
- 1902612740
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 6, 2024 (1.7187806243312 yrs)
- Last Updated
- Dec 6, 2024
- License
-
002515859 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8630 ANTIOCH RDBATON ROUGE, LA, 708176413Browse LA providers · Browse ZIP 70817
- Phone
- 5046678133
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in BATON ROUGE, LA
| Name | Credential | NPI |
|---|---|---|
| MRS. JARRELYN NELSON RUIZ | FAMILY & FRIENDS ORG | 1427262179 |
| MS. STEPHANIE LYNN CARTER | — | 1194918250 |
| MR. RODERICK JEROME DICKERSON | — | 1447415229 |
| KAYLA FOWLER | — | 1629344437 |
| MR. MIGUEL MONTRELLE TAYLOR | — | 1225453525 |
| SHENA BYRD | — | 1629436522 |
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.