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Kenneth Jason Jackson, MD
Family Medicine Physician in Lebanon, New Hampshire
NPI 1174083810

Kenneth Jason Jackson is a Family Medicine Physician based in Lebanon, NH. Kenneth Jason Jackson practices in Lebanon, NH and has the professional credentials of MD. The NPI Number for Kenneth Jason Jackson is 1174083810 and holds a License No. 22456 (New Hampshire).

The current practice location address for Kenneth Jason Jackson is 18 Old Etna Rd, Lebanon, NH and can be reached out via phone at 603-650-5000.

Location: 18 Old Etna Rd, Lebanon, NH, 03766-1937
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174083810
Provider Name
Kenneth Jason Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
18 Old Etna Rd, Lebanon, NH, 03766-1937
Phone Number
603-650-5000
Fax Number
Provider Enumeration Date
03/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18 Old Etna Rd
City
Lebanon
State
New Hampshire
Zip
03766-1937
Phone Number
603-650-5000
Fax Number
person
Provider Business Mailing Address Details
Address
18 Old Etna Rd
City
Lebanon
State
New Hampshire
Zip
03766-1937
Phone Number
603-650-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
22456 (New Hampshire)
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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