Individual provider · Type 1 NPI

Kenneth Dolen Jackson, MD

Surgery Physician · Kansas City, MO

NPI number 1295898179 Active

Practice location

930 Carondelet Dr, Suite 104
Kansas City, MO 64114-4855

Call (816) 941-2222 Map

Fax (816) 941-2282

Mailing address

930 Carondelet Dr 201
Kansas City, MO 64114-4698

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician 207Y00000X9406666 (KS)
Surgery Physician Primary 208600000X2008033152 (MO)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1295898179

Kenneth Dolen Jackson, MD's National Provider Identifier is 1295898179, issued on Dec 19, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Kansas City, MO. The record was last updated on Oct 15, 2015.