Kenneth G Jackson JR. MD

  • NPI 1801183710
According to our database, the NPI number for Kenneth G Jackson JR. MD is 1801183710 and activated since 12 years ago. Kenneth G Jackson JR. MD is an individual provider who specializes in Family Medicine, and the primary practice location is 885 Tiger Blvd, Clemson, SC 29631. You can also contact Kenneth G Jackson JR. MD via telephone number is (864) 654-2067. Provider NPI information was last updated on 01/23/2015.

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Overview of Kenneth G Jackson JR. MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/30/2011
  • Last updated: 01/23/2015

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: LL33560
  • License State: SC

Provider Mailing Address

  • Address: 885 Tiger Blvd
    Clemson, SC 29631
  • Phone: 864-654-2067
  • Fax: 864-653-5926

Provider Practice Location

  • Address: 885 Tiger Blvd
    Clemson, SC 29631
  • Phone: 864-654-2067
  • Fax: 864-653-5926

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: LL33560
  • License State: SC
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 335603
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: SC
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kenneth G Jackson JR. MD?
  • A: The npi number for Kenneth G Jackson JR. MD is 1801183710.
  • Q: What are Kenneth G Jackson JR. MD's specialties?
  • A: Kenneth G Jackson JR. MD's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Kenneth G Jackson JR. MD?
  • A: The medical license number for Kenneth G Jackson JR. MD is LL33560 and issued in SC in USA.
  • Q: Where is Kenneth G Jackson JR. MD practice location?
  • A: Kenneth G Jackson JR. MD is practicing at 885 Tiger Blvd, Clemson, SC 29631.
  • Q: How to contact Kenneth G Jackson JR. MD?
  • A: You can contact Kenneth G Jackson JR. MD via 864-654-2067.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
Dental Public Health
Optometrist
Occupational Health
Sports Physician
Mental Health
Physical Therapist
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Medical Technologist
Ph.D. Medical Genetics
Military Health Care Provider
Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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