Kenneth Jackson, PA-C

NPI 1033238936 · on the registry since 2007

Practice

Address: 27901 Woodward Ave
Suite 300
Berkley, MI 48072
Phone: (248) 837-2443
Organisation at this address: Sanjay Dogra Md Pllc
Abdulgadir Adam Md Pllc
Chau Plastic Surgery Pc
Asadulla Mohammed Md Pc
Cardiology Associates Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 41

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-01-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan