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

Kenneth Dolen Jackson, MD

Individual provider Otolaryngology Physician · NPI 1295898179

Kenneth Dolen Jackson, MD is an Otolaryngology Physician in Kansas City, Missouri. Licensed in Kansas and Missouri. Registered with an NPI since 2006.

Licensed in
KS, MO
In the registry since
2006
Specialties on file
2
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

930 Carondelet Dr Ste 104
Kansas City, MO 64114-4855
Phone: (816) 941-2222
Fax: (816) 941-2282
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Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2008033152 (MO)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 9406666 (KS)

Record details

NPI number1295898179
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 19, 2006
Last updated in NPPESOctober 15, 2015

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