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

Mr. Kevin R Jackson, CERTIFICATION

Individual provider Health Educator · NPI 1366724270

Mr. Kevin R Jackson, CERTIFICATION is a Health Educator in Detroit, Michigan. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

19752 Snowden St
Detroit, MI 48235-1180
Phone: (313) 282-7040
Fax: (313) 861-4215
Show map & directions

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

Specialties & licences

Health Educator (primary) Taxonomy 174H00000X

Record details

NPI number1366724270
Entity typeIndividual (Type 1)
GenderMale
Credentials CERTIFICATION
Sole proprietorNo
NPI enumeratedSeptember 16, 2011
Last updated in NPPESSeptember 16, 2011

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