Search › Oklahoma › 174400000X
Kenneth Jackson, M.D
NPI 1457491037 · on the registry since 2007
Practice
- Address
- 7301 N Comanche Ave
Ou Physicians
Warr Acres, OK 73132 - Phone
- (405) 721-8090
- Fax
- (405) 722-8529
- Organisation at this address
- Grand Prairie Pediatrics
L4 Clinical Management Llc
Grand Prairie Pediatric And Allergy ClinicInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-07
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 Oklahoma