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

Dr. Kenneth William Jackson, MD

Individual provider Orthopaedic Surgery Physician · NPI 1578621843

Dr. Kenneth William Jackson, MD is an Orthopaedic Surgery Physician in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12255 Fair Lakes Pkwy
Fairfax, VA 22033-3952
Phone: (703) 934-5905
Fax: (703) 934-5778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 0101038325 (VA)

Record details

NPI number1578621843
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 5, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressKaiser Permanente Mid Atlantic Permanente Medical Group, 2101 East Jefferson Street Ppqa Medicare Compliance Uni, Rockville, MD 20852-4908

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