Kenneth Jackson

NPI 1700790060 · on the registry since 2026

Practice

Address: 7677 Yankee St Ste 140
Centerville, OH 45459
Phone: (937) 293-3486
Fax: (937) 454-0077
Organisation at this address: Fidelity Orthopedic Inc
Orthopedic Associates Of Sw Ohio Inc
Orthopedic Associates Of S W Ohio, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-10-01

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 Ohio