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

Mr. Kenneth Lee Jackson

Individual provider Non-emergency Medical Transport (VAN) · NPI 1154058162

Mr. Kenneth Lee Jackson is a Non-emergency Medical Transport (VAN) in Lake Charles, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1216 Oklahoma St
Lake Charles, LA 70607-3624
Phone: (337) 414-0914
Show map & directions

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

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X

Record details

NPI number1154058162
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 1, 2022
Last updated in NPPESAugust 1, 2022
Certification dateAugust 1, 2022

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