Kenneth William Jackson, PA - London, KY

Kenneth William Jackson, PA

Student in an Organized Health Care Education/Training Program in London, Kentucky

NPI 1194587824

Kenneth William Jackson is a Student in an Organized Health Care Education/Training Program based in London, KY. Kenneth William Jackson practices in London, KY and has the professional credentials of PA. The NPI Number for Kenneth William Jackson is 1194587824 and holds a License No. (Kentucky).

The current practice location address for Kenneth William Jackson is 252 Brookside Dr, London, KY and can be reached out via phone at 801-803-1474.

Location: 252 Brookside Dr, London, KY, 40744-6434

NPI Number

1194587824

Provider Name

Kenneth William Jackson

Credential

Provider Entity Type

Individual

Gender

Male

Address

252 Brookside Dr, London, KY, 40744-6434

Phone Number

801-803-1474

Fax Number

Provider Enumeration Date

01/29/2024

Last Update Date

04/14/2024

Address

252 Brookside Dr

City

London

State

Kentucky

Zip

40744-6434

Phone Number

801-803-1474

Fax Number

Address

252 Brookside Dr

City

London

State

Kentucky

Zip

40744-6434

Phone Number

801-803-1474

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

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Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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