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Dr. Kenneth Douglas Jackson, MD
Family Medicine Physician in Kingman, Arizona
NPI 1073510491

Kenneth Douglas Jackson is a Family Medicine Physician based in Kingman, AZ. Kenneth Douglas Jackson practices in Kingman, AZ and has the professional credentials of MD. The NPI Number for Kenneth Douglas Jackson is 1073510491 and holds a License No. 12522 (Arizona).

The current practice location address for Kenneth Douglas Jackson is 1739 E Beverly Ave, Kingman, AZ and can be reached out via phone at 928-692-3456 and via fax at 928-692-7071.

Location: 1739 E Beverly Ave, Kingman, AZ, 86401-3593
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073510491
Provider Name
Kenneth Douglas Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1739 E Beverly Ave, Kingman, AZ, 86401-3593
Phone Number
928-692-3456
Fax Number
928-692-7071
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209991 05 AZ
12522 01 AZ LICENSE
institution
Provider Business Practice Location Address Details
Address
1739 E Beverly Ave
City
Kingman
State
Arizona
Zip
86401-3593
Phone Number
928-692-3456
Fax Number
928-692-7071
person
Provider Business Mailing Address Details
Address
1739 E Beverly Ave
City
Kingman
State
Arizona
Zip
86401-3593
Phone Number
928-692-3456
Fax Number
928-692-7071
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
12522 (Arizona)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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