Individual provider · Type 1 NPI

Kenneth Mitchell Jackson

Student in an Organized Health Care Education/Training Program · Houston, TX

NPI number 1699429324 Active

Practice location

3131 West Loop S Apt 481
Houston, TX 77027-6136

Call (323) 898-8918 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699429324

Kenneth Mitchell Jackson's National Provider Identifier is 1699429324, issued on Feb 10, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Houston, TX. The record was last updated on May 24, 2022.