MR. Kenneth T Jackson MASTERS

  • NPI 1639469026
According to our database, the NPI number for MR. Kenneth T Jackson MASTERS is 1639469026 and activated since 13 years ago. MR. Kenneth T Jackson MASTERS is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 25506 Virginia Dr, Warren, MI 48091. You can also contact MR. Kenneth T Jackson MASTERS via telephone number is (313) 492-5119. Provider NPI information was last updated on 04/19/2011.

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Overview of MR. Kenneth T Jackson MASTERS

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/19/2011
  • Last updated: 04/19/2011

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: unknow
  • License State: MI

Provider Mailing Address

  • Address: 25506 Virginia Dr
    Warren, MI 48091
  • Phone: 313-492-5119
  • Fax:

Provider Practice Location

  • Address: 25506 Virginia Dr
    Warren, MI 48091
  • Phone: 313-492-5119
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number:
  • License State: MI
  • Switch: Yes

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 MR. Kenneth T Jackson MASTERS?
  • A: The npi number for MR. Kenneth T Jackson MASTERS is 1639469026.
  • Q: What are MR. Kenneth T Jackson MASTERS's specialties?
  • A: MR. Kenneth T Jackson MASTERS's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for MR. Kenneth T Jackson MASTERS?
  • A: The medical license number for MR. Kenneth T Jackson MASTERS is unknow and issued in MI in USA.
  • Q: Where is MR. Kenneth T Jackson MASTERS practice location?
  • A: MR. Kenneth T Jackson MASTERS is practicing at 25506 Virginia Dr, Warren, MI 48091.
  • Q: How to contact MR. Kenneth T Jackson MASTERS?
  • A: You can contact MR. Kenneth T Jackson MASTERS via 313-492-5119.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
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Family Health
Nurse Massage Therapist
Sports Medicine
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