Individual provider · Type 1 NPI

Kenneth Douglas Jackson, MD

Family Medicine Physician · Kingman, AZ

NPI number 1073510491 Active

Practice location

1739 E Beverly Ave, Suite 201
Kingman, AZ 86401-3593

Fax (928) 692-7071

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	12522 (AZ)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 other providers at this address

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About NPI 1073510491

Kenneth Douglas Jackson, MD's National Provider Identifier is 1073510491, issued on Jun 30, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Kingman, AZ. The record was last updated on Jul 13, 2026.