Kenneth Dolen Jackson in Kansas City - Otolaryngology

Kenneth Dolen Jackson - NPI 1295898179

Kenneth Dolen Jackson is a Otolaryngology in Kansas City, Missouri. Kenneth Dolen Jackson practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Kenneth Dolen Jackson is 1295898179. The last update date is 2015-10-15.

Kenneth Dolen Jackson's current location address is 930 Carondelet Dr 201, Kansas City, Missouri. You can contact this provider via phone number 8169412222 and fax number 8169412282. The mailing address for Kenneth Dolen Jackson is 930 Carondelet Dr 201, Kansas City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Dolen Jackson
Address 930 Carondelet Dr 201, Kansas City, Missouri
Phone Number 8169412222
Fax Number 8169412282
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1295898179
Provider Enumeration Date 2006-12-19
Last Updated Date 2015-10-15

Provider Mailing Address Detail

Address 930 Carondelet Dr 201
City Kansas City
State Missouri (MO)
Post Code 641144698
Phone Number 8169412222
Fax Number 8169412282

Provider's Primary Taxonomy Detail

Speciality Otolaryngology
Taxonomy 207Y00000X
Licence No 9406666
Definition:
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an

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FAQs about Kenneth Dolen Jackson

What is the Kenneth Dolen Jackson's unique identification number?

The Kenneth Dolen Jackson has been assigned the NPI (National Provider Identifier) Number 1295898179 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Kenneth Dolen Jackson?

The Kenneth Dolen Jackson is situated at 930 Carondelet Dr 201, in the city of Kansas City, state of MO, with the zip code 641144698.

What is the Kenneth Dolen Jackson's area of specialization and corresponding taxonomy classification?

The Kenneth Dolen Jackson's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1295898179 assigned to Kenneth Dolen Jackson?

The Kenneth Dolen Jackson was issued its 1295898179 on 2006-12-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Kenneth Dolen Jackson most recently updated or revised?

The details related to Kenneth Dolen Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2015-10-15.

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