person
Kenneth Jackson, PA-C
Medical Physician Assistant in Berkley, Michigan
NPI 1033238936

Kenneth Jackson is a Medical Physician Assistant based in Southfield, MI and is specialized in Medical. Kenneth Jackson practices in Berkley, MI and has the professional credentials of PA-C. The NPI Number for Kenneth Jackson is 1033238936 and holds a License No. 5601001747 (Michigan).

The current practice location address for Kenneth Jackson is 27901 Woodward Ave, Berkley, MI and can be reached out via phone at 248-837-2443.

Location: 27901 Woodward Ave, Berkley, MI, 48033-3849
person
Provider Profile Details
NPI Number
1033238936
Provider Name
Kenneth Jackson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
27901 Woodward Ave, Berkley, MI, 48033-3849
Phone Number
248-837-2443
Fax Number
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
27901 Woodward Ave
City
State
Zip
48072-0919
Phone Number
248-837-2443
Fax Number
person
Provider Business Mailing Address Details
Address
27901 Woodward Ave
City
State
Zip
48072-0919
Phone Number
248-837-2443
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601001747 (Michigan)
Definition
Definition to come...
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