KENNETH JACKSON, PA

PA

Physician Assistant

NPI: 1194587824IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

7871497(ID)TC075(KY)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2024

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Contact & Hours

Address: 2 TRILLIUM WAY STE 106
CORBIN, KY 40701
Phone: (606) 526-4070

Locations (2)

Practice Location

2 TRILLIUM WAY STE 106, CORBIN, KY

Practice Location

3200 CHANNING WAY STE A206, IDAHO FALLS, ID

Quick Facts

NPI: 1194587824
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 2
Years in Practice: 2

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