Kenneth Jackson, PA-C
Kenneth Jackson, PA-C is a Medical Physician Assistant in Berkley, Michigan. Licensed in Michigan. Registered with an NPI since 2007.
- Licensed in
- MI
- In the registry since
- 2007
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
27901 Woodward Ave Ste 300Berkley, MI 48072-0919
Phone: (248) 837-2443
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 5601001747 (MI) |
|---|
Record details
| NPI number | 1033238936 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | March 29, 2007 |
| Last updated in NPPES | January 25, 2021 |
| Certification date | January 25, 2021 |
| Mailing address | 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 |
Other providers in Berkley
-
Mrs. Brandy Blackston, PA-C
27901 Woodward Ave Ste 300, Berkley, MI 48072-0921 · (248) 545-0070
-
Lauren Naborczyk, PA-C
27901 Woodward Ave Ste 300, Berkley, MI 48072-0921 · (248) 545-0070
-
Mark Rosen, PA-C
1964 W 11 Mile Rd, Berkley, MI 48072-3046 · (248) 544-9300
-
Mr. Caleb Anthony Youngblood, MMS, PA-C
1964 W 11 Mile Rd, Berkley, MI 48072-3046 · (248) 544-9300