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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. You can also correspond with Kenneth William Jackson through the mailing address at 252 BROOKSIDE DR, LONDON, KY - 40744-6434 (mailing address contact number: 801-803-1474).

Location: 252 Brookside Dr, London, KY, 40744-6434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194587824
Provider Name
Kenneth William Jackson
Credential
PA
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
institution
Provider Business Practice Location Address Details
Address
252 Brookside Dr
City
London
State
Kentucky
Zip
40744-6434
Phone Number
801-803-1474
Fax Number
person
Provider Business Mailing Address Details
Address
252 Brookside Dr
City
London
State
Kentucky
Zip
40744-6434
Phone Number
801-803-1474
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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