Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian Jackson

Individual provider Other Technician · NPI 1659612364

Brian Jackson is an Other Technician in Kennett, Missouri. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

1109 Jones St
Kennett, MO 63857-3824
Phone: (573) 888-6545
Fax: (573) 888-2369
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1659612364
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 5, 2013
Last updated in NPPESMarch 5, 2013
Mailing address1109 Jones St, Po Box 470, Kennett, MO 63857-3824

Other providers in Kennett