Kenneth Wade Jackson in Fletcher - Obstetrics
Kenneth Wade Jackson - NPI 1487606943
Kenneth Wade Jackson is a Obstetrics in Fletcher, North Carolina. Kenneth Wade Jackson practices all healthcare services and medical treatments related to Obstetrics. The NPI Number for Kenneth Wade Jackson is 1487606943. The last update date is 2021-03-04.
Kenneth Wade Jackson's current location address is Po Box 1869, Fletcher, North Carolina. You can contact this provider via phone number 8286875698. The mailing address for Kenneth Wade Jackson is Po Box 1869, Fletcher, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Wade Jackson |
|---|---|
| Address | Po Box 1869, Fletcher, North Carolina |
| Phone Number | 8286875698 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1487606943 |
|---|---|
| Provider Enumeration Date | 2006-05-16 |
| Last Updated Date | 2021-03-04 |
Provider Mailing Address Detail
| Address | Po Box 1869 |
|---|---|
| City | Fletcher |
| State | North Carolina (NC) |
| Post Code | 287321869 |
| Phone Number | 8286875698 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics |
|---|---|
| Taxonomy | 207Vx0000X |
| Licence No | 9801313 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2169383 | NC | UNITED HEALTHCARE | |
| 11453742 | NC | CAQH | |
| 136RM | NC | BLUE CROSS | |
| 89136RM | NC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kenneth Wade Jackson by the Centers for Medicare & Medicaid Services?
The Kenneth Wade Jackson has been issued the NPI (National Provider Identifier) 1487606943. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kenneth Wade Jackson's physical address?
The Kenneth Wade Jackson is physically located at Po Box 1869, in the city of Fletcher, NC, with the postal code 287321869.
What is Kenneth Wade Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth Wade Jackson is Obstetrics, and the taxonomy code that classifies this field of practice is 207Vx0000X.
On what date did Kenneth Wade Jackson receive its 1487606943 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Wade Jackson was assigned its 1487606943 on 2006-05-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kenneth Wade Jackson most recently updated?
The details pertaining to the Kenneth Wade Jackson, including its address, specialty, and other relevant information, were last refreshed on 2021-03-04.
NPI Number: 1457355786
Address: P. O. Box 2358 Snow Hill Road, Salisbury, MD