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Physician Profile

Kenneth D. Jackson, M.D.

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At a glance

About Dr. Jackson

Based in Kingman, AZ, Kenneth D. Jackson, M.D. is listed in the NPI registry under obstetrics/gynecology. Kenneth graduated from Baylor College of Medicine in 1974. Kenneth is also listed as specializing in family medicine. NPI 1073510491 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

Specialty

Credentials & Licensing

AZ licenceAs reported to the NPI registry
No. 12522As reported
NPINational Provider Identifier
1073510491Issued 2005

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Kenneth D. Jackson specialize in?

Kenneth D. Jackson is an obstetrics/gynecology in Kingman, AZ. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Kenneth D. Jackson located?

Kenneth D. Jackson is listed at 1739 E Beverly Ave Suite 201, Kingman, AZ 86401. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Kenneth D. Jackson's phone number?

The number on file is (928) 692-3456. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Kenneth D. Jackson?

Kenneth D. Jackson's National Provider Identifier is 1073510491. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Kenneth D. Jackson train?

Kenneth D. Jackson attended Baylor College of Medicine, graduating in 1974. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Kenneth D. Jackson have?

Kenneth D. Jackson has 52 years experience. Calculated from a graduation year of 1974, reported in the CMS National Downloadable File.

CMS public data

Is Kenneth D. Jackson's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Kenneth D. Jackson. If this is you, claiming it is free.

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