What is Kenneth Jackson's NPI number?

Kenneth Jackson's National Provider Identifier (NPI) is 1710302096, 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 Specialist (Other Service Providers).

Where is Kenneth Jackson located?

Kenneth Jackson's practice location on file with NPPES is 1001 S Raisinville Rd, Monroe, MI 48161-9754.

What is Kenneth Jackson's phone number?

The practice phone number listed in the NPPES registry for Kenneth Jackson is (734) 243-7340.

Is Kenneth Jackson's NPI active?

Yes — Kenneth Jackson's NPI (1710302096) is active in the NPPES registry as of the last update on 2014-02-24.

IndividualActive

Kenneth Jackson

NPI 1710302096 · Specialist · Monroe, MI

Kenneth Jackson is a Specialist provider in Monroe, MI (NPI 1710302096).

Provider details

NPI number: 1710302096
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

SpecialistPrimary174400000X
Other Service Providers

Profile Score

Established profile(70/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 yrs in NPPES registry
Profile completeness38% of score
83% 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

1001 S Raisinville Rd

Monroe, MI 48161-9754

Phone: (734) 243-7340

Street-level locationGet directions

More MI providers

Mailing address