KENNETH WILLIAM JACKSON, PA

NPI: 1194587824 · Individual · Active

Primary Specialty

Physician Assistant

Practice Location

2 TRILLIUM WAY STE 106
CORBIN, KY 40701-8426 Map ↗
Phone: 606-526-4070
Fax: 606-526-4072

All Specialties & Licenses

  • Physician Assistant Primary (license: TC075, KY)

NPI Registration

Enumerated: 2024-01-29

Last CMS Update: 2024-10-11