person
Dr. Kenneth Wade Jackson JR., MD
Obstetrics Physician in Arden, North Carolina
NPI 1487606943

Kenneth Wade Jackson JR. is a Obstetrics Physician based in Fletcher, NC and is specialized in Obstetrics. Kenneth Wade Jackson JR. practices in Arden, NC and has the professional credentials of MD. The NPI Number for Kenneth Wade Jackson JR. is 1487606943 and holds a License No. 9801313 (North Carolina).

The current practice location address for Kenneth Wade Jackson JR. is 15 Skyland Inn Dr Fl 2, Arden, NC and can be reached out via phone at 828-654-5005 and via fax at 828-654-3257.

Location: 15 Skyland Inn Dr Fl 2, Arden, NC, 28732-1869
person
Provider Profile Details
NPI Number
1487606943
Provider Name
Kenneth Wade Jackson JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15 Skyland Inn Dr Fl 2, Arden, NC, 28732-1869
Phone Number
828-654-5005
Fax Number
828-654-3257
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2169383 01 NC UNITED HEALTHCARE
11453742 01 NC CAQH
136RM 01 NC BLUE CROSS
89136RM 05 NC
institution
Provider Business Practice Location Address Details
Address
15 Skyland Inn Dr Fl 2
City
State
Zip
28704-7714
Phone Number
828-654-5005
Fax Number
828-654-3257
person
Provider Business Mailing Address Details
Address
15 Skyland Inn Dr Fl 2
City
State
Zip
28704-7714
Phone Number
828-654-5005
Fax Number
828-654-3257
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
License No.
9801313 (North Carolina)
Definition
Definition to come...
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