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Kendall Jackson, MD
NPI 1811780687 · Pediatrics Physician · Philadelphia, PA
Kendall Jackson, MD is a Pediatrics Physician provider in Philadelphia, PA (NPI 1811780687).
Provider details
- NPI number
- 1811780687
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MT233405 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
3401 Civic Center Blvd
Division of General Pediatrics
Philadelphia, PA 19104
Phone: (215) 590-1220
Street-level locationGet directions
Mailing address
3401 Civic Center Blvd
Philadelphia, PA 19104
Registry dates
- Enumerated
- 2025-05-26
- Last updated
- 2025-05-26
- Certified
- 2025-05-25
Frequently asked questions
- What is Kendall Jackson's NPI number?
- Kendall Jackson's National Provider Identifier (NPI) is 1811780687, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kendall Jackson's specialty?
- Kendall Jackson is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Kendall Jackson located?
- Kendall Jackson's practice location on file with NPPES is 3401 Civic Center Blvd, Philadelphia, PA 19104.
- What is Kendall Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kendall Jackson is (215) 590-1220.
- Is Kendall Jackson's NPI active?
- Yes — Kendall Jackson's NPI (1811780687) is active in the NPPES registry as of the last update on 2025-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.