Kenneth Jackson, M.D.
NPI 1073510491 · Family Medicine Physician · Kingman, AZ
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Jackson, M.D. is a Family Medicine Physician provider in Kingman, AZ (NPI 1073510491).
Provider details
- NPI number
- 1073510491
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- License
- 12522 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-06-30
- Last updated
- 2023-03-07
Frequently asked questions
- What is Kenneth Jackson's NPI number?
- Kenneth Jackson's National Provider Identifier (NPI) is 1073510491, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Jackson's specialty?
- Kenneth Jackson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Jackson located?
- Kenneth Jackson's practice location on file with NPPES is 1739 E Beverly Ave, Kingman, AZ 86401-3593.
- What is Kenneth Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Jackson is (928) 692-3456.
- Does Kenneth Jackson accept Medicare?
- Kenneth Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Jackson's NPI active?
- Yes — Kenneth Jackson's NPI (1073510491) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.